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:
550 chars left.
Major Professional Accomplishments:
550 chars left.
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):
550 chars left.
Date:
Supported by Adhering Body:

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