FKNE Mentoring Prize 2020

Detailed information on the requirements for the Nominees, and the Call for Nominations can be found on the FENS-Kavli Network of Excellence webpage.

Nominations for the Mentoring Prize 2020 must be submitted online (this form) by 1st March 2020 (midnight, Brussels time) at the latest.

PLEASE COMPLETE AND SUBMIT THE NOMINATION FORM BELOW:

1. Nominee information (please note that the FENS-Kavli Network of Excellence Office will contact the Nominee and request to submit his/her CV)

Name of the Nominee *

First Name Last Name

E-mail of the Nominee *

Affiliation/work address of the Nominee

University or Institution
Department
Laboratory (if relevant)	City
Postal code	Country

2. Person Nominating

Name of the Proposer *

First Name Last Name

E-mail of the Proposer *

Affiliation/ work address of the Proposer

University or Institution
Department
Laboratory (if relevant)	City
Postal code	Country

3. Supporting documents for the Nomination

3.1. A Letter of Recommendation from mentees highlighting the mentoring activities of the Nominee (More than one letter of recommendation is welcome. These can be combined into a single pdf and uploaded together).

Upload the Letter of Recommendation from a current or former mentee of the Nomineee. *

3.2. Contact details of two more current or former mentees of the nominee who the FENS-Kavli Network of Excellence can contact for recommendations.

1. Referee *

First Name Last Name

E-mail of the Referee *

2. Referee *

First Name Last Name

E-mail of the Referee *

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