Awards Nomination Form

Awards Nomination Forms

This year’s deadline for receipt of award nominations is October 1 (for awards to be presented in 2009). Nominations received after the deadline or those that are incomplete will be held for consideration the following year. The next two consecutive committees automatically consider any nominee not selected for the award. Award recipients are announced in March of the year following the nomination deadline.

Award nominations can be submitted by several means. Nominators may fill out the online submission form below, download the Award Nomination file (PDF) and submit it, or request from the awards department a nomination form in Word format which can be mailed or attached to an e-mail.

Nominators will also need to arrange for a minimum of four supporting letters. These too may be submitted electronically, by mail, or by fax.

Please review the descriptions of each award. Note that not all awards are presented every year. Before nominating, be sure to review all requirements on the Award Selection Process Page.

To submit or request forms, contact awards@osa.org.

Online Awards Nomination

Please be aware that your session will time out after 90 minutes and plan accordingly. Unfortunately, your entry will not be saved unless you submit it within 90 minutes.

Please review the form prior to starting to ensure you have all information and any attachments ready.

Please choose the award the nomination is for:

* Adolph Lomb MedalC.E.K. Mees MedalCharles H. Townes AwardDavid Richardson MedalDistinguished Service AwardEdgar D. Tillyer AwardEdwin H. Land MedalEllis R. Lippincott AwardEmmett N. Leith MedalEsther Hoffman Beller MedalFrederic Ives Medal / Quinn EndowmentHerbert Walther AwardJoseph Fraunhofer AwardMax Born AwardNick Holonyak, Jr. AwardOSA Leadership Award / New Focus PrizeR.W. Wood PrizeWilliam F. Meggers Award

Your Information

*Indicates Required field

*First Name:
*Last Name:
*OSA Member No.:
Company/Institution:
Department/Mailstop:
*Street Address:
*City:
*State/Province:
*Country:
*Postal Code:
Phone:
Fax:
*E-mail Address:

Nominee Information

*First Name:
*Last Name:
*Affiliation/Position:
*Street Address:
*City:
*State:
*Country:
*Postal Code:
Phone:
Fax:
*E-mail Address:
Birthday: (Adolph Lomb Medal Nominees Only)
*Citation:	In no more than 30 words, summarize the specific reason for making this award to your nominee. The award citation will be based on your summary.

Upload Narrative and Vita

Please attach a one-page narrative description of the significant aspects of the nominee's career, a curriculum vita, publication list, and any other material you think will be helpful.

Please note: you may only upload one document, OR a zip file.

Click on the Browse button and navigate to find the file on your computer. Double click on your file to put the path and filename in the box. Press the Submit button to continue. Note: we accept the following file extenstions: .doc, .txt, .pdf, .zip.

References

Four or more references are required for OSA Awards

*First Reference's Name:
*Affiliation:
Phone:
*E-mail:
*Second Reference's Name:
*Affiliation:
Phone:
*E-mail:
*Third Reference's Name:
*Affiliation:
Phone:
*E-mail:
*Fourth Reference's Name:
*Affiliation:
Phone:
*E-mail:
Additional references beyond those listed will be accepted and added to nomination file.
Your on-line submission will be acknowledged by an e-mail message. If that message does not appear within a reasonable period, please contact awards@osa.org to confirm that your nomination was received.

Copyright © Optical Society of America. All Rights Reserved.