Mineralogical Society of America

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	CHECKLIST FOR MSA AWARD OR MEDAL NOMINATIONS

(Please indicate one)

[ ] Roebling Medal
[ ] Distinguished Public Service Medal
[ ] Dana Medal
[ ] Mineralogical Society of America Award

Date: ___________________________________________

Nominee: ___________________________________________

Address: ___________________________________________
Address: ___________________________________________
phone: ____________________________________________
e-mail: ____________________________________________
Date of birth or date of most advanced degree for
MSA Award nominess only: ___________________________

Sponsor: ___________________________________________
Address: ___________________________________________
Address: ___________________________________________
phone: ____________________________________________
e-mail: _____________________________________________

(There needs to be at least 3 but no more than 5 co-sponsors of the nomination)

Co-Sponsor 1: _______________________________________

Co-Sponsor 2: _______________________________________

Co-Sponsor 3: _______________________________________

Co-Sponsor 4: _______________________________________

Co-Sponsor 5: _______________________________________

Required Information

(1) this cover page

(2) a cover letter from the nominator outlining the candidate's qualifications in light of the criteria for the award.

(3) supporting letters from at least three (3) but no more than five (5) other individuals are required and should focus on how the candidate meets the criteria of the award.

(4) curriculum vitae and a bibliography of published works exclusive of abstracts, book reviews, and papers that have not yet been accepted for publication. (5) any supplementary materials that bear on the award criteria.

The committee asks that the nominator compile into a single electronic file the nomination, all letters of support, and supplementary materials before submitting the nomination package to the Committee Chair. This single electronic file makes it easier and less expensive for the committee members, who are increasingly international, to do their work.
Nominations can be carried over to following years if the nomination package is updated by the sponsor. Any nomination not renewed after 2 years will be not considered further.
The nomination package must be submitted to the chair of the respective Committee for the award by June 1. You can obtain their contact information by selecting:

Roebling Medal Committee
Distinguished Public Service Medal Committee
Dana Medal Committee
Mineralogical Society of America Award Committee

or, you can send the nomination package to:

MSA Business Office
3635 Concorde Pkwy Ste 500
Chantilly VA 20151-1125 USA Tel: +1 (703) 652-9950
Fax: +1 (703) 652-9951
e-mail: business@minsocam.org

(revised 01/19/2005)