Nomination form Collen-Jeantet Prize

Collen-Jeantet Prize for Translational Medicine

At the Scientific Committee’s discretion, all nominations may be considered for both the Louis-Jeantet Prize and the Collen-Jeantet Prize.

Nominee

More than one scientist may be nominated if the individuals have worked as a team or independently made key contributions. Self-nominations are not accepted. Nominees should not be informed of their nomination. Nominations of candidates under 50 are encouraged.

Name(Required)

Position and title

Birthdate (year)

Nationality

E-mail(Required)

Professional address

Nominee

Name(Required)

Position and title

Birthdate (year)

Nationality

E-mail(Required)

Professional address

Nominated by

Nominees must be nominated by scientific personalities (without any family ties with them) or institutions (universities or major agencies funding research) possessing detailed knowledge of their work.

Name(Required)

Title

E-mail(Required)

Address

If the nominator represents an organisation, state in addition:

Organisation

Summarise the main scientific achievements and present research activities of the nominee(s)

State in one sentence what is the major contribution of the nominee(s)

State in one sentence what is the significance of this work outside the specific research field

Please identify other scientist(s) in addition to the nominee(s) who should also be considered for the Prize

List the five most relevant research papers (original, peer-reviewed articles)

Add a copy of the curriculum vitae and publication list(s) if available.

Max. file size: 300 MB.

Once submitted you will receive an email containing all your responses.

Collen-Jeantet Prize for Translational Medicine

Collen-Jeantet Prize for Translational Medicine

Nominee

Nominee

Nominated by

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