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Nomination form Diversity Initiative Award

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Academic year: 2021

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Nomination form Diversity Initiative Award

To nominate a candidate for the Diversity Initiative Award 2021 a completed version of this nomination form should be send to ENWprijzen@nwo.nl before 15 June 2021 14:00h. If you have questions about the form please contact the secretary of the award, dr. Silke Diedenhofen, via ENWprijzen@nwo.nl.

Cover page (mandatory)

Applicant

Name:

Affiliation:

E-mail address:

Phone number:

Nominee

Initiative Name initiative:

Nominee 1 (contact person) Name:

Affiliation:

E-mail address:

Phone number:

When applicable:

Nominee 2 Name:

Affiliation:

E-mail address:

Phone number:

Scientific discipline

Please indicate which scientific discipline(s) apply/applies:

Astronomy, Earth Sciences, Chemistry, Computer Science, Life Sciences, Physics, Mathematics

Summary

Shortly describe the nomination in a maximum of 5 sentences.

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Motivational letter (mandatory, max 2 pages)

Please motivate why you nominate the candidate for the Diversity Initiative Award. You can use the assessment criteria from Chapter 4 of the brochure for your argumentation.

The nomination and optional supporting documents should be DORA compliant. They should therefore not include impact factors, H-indexes and/or total number of citations.

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Supporting documents (optional, max 5 pages)

If preferred, supporting documents such as a narrative CV of the candidate or supporting letters can be added. An explanation on the narrative CV can be found on the following webpage.

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