Nominee Form

Name of Nominee
First Name:
Last Name:
Middle Initial:
Past and Present Positions (over 15 years):
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Highest Degree obtained, field and university:
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Honours and Awards:
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Major Professional Accomplishments:
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Examples of Leadership and/or Publication Record (number) and
Type (research articles, books, reports – indicate number only by types):
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Knowledge of and/or Involvement in IUFoST (to date):
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Date:
Nominee is an IUFoST Adhering Body member

To validate the submitted information, please make sure that both the Academy Fellow Nominator Form and the Academy Fellow Nominee Form have been completed.
It also is required that the names on both forms should match and be typed exactly the same.

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