Member Science Spotlight Nomination Form

Your Name(Required)

Your Email(Required)

Your Institution(Required)

Name of member you are nominating for a spotlight (Spotlight Nominee)(Required)

Spotlight Nominee Email Address(Required)

Spotlight Nominee Institution(Required)

Spotlight Nominee Career Level/Title(Required)

Please provide a brief description of the nominee's work that you think should be highlighted in a spotlight(Required)

Recommended spotlight to highlight nominee's work (select all that apply)(Required)

Science Spotlight

Clinical Science Spotlight

Greater Good Spotlight

Early Career and Researcher Trainee Spotlight