Nomination Form / Darlene Schmidt Science News Award

Individual Submitting Nomination

If self-nominating, please skip to Nominee information.

Name

Affiliation / Employer

Email Address

Phone Number

Name

Job Title

Affiliation / Employer

Email Address

Phone Number

What qualifies this individual for this award?

Please submit up to three stories published or broadcast in the last two years. URLs for online resources are preferred.

If uploading files, acceptable file types are Adobe Acrobat (PDF) or MP4/MOV video files. The maximum total file size for uploads is 250MB.

At least one attachment is required.

Type Attachment

0 / 250MB