L.S.
Palmer Award
Nomination Form
Please Print and Mail to MCF
I (we) would like to
nominate:
| Name: |
_________________________________ |
| Organization: |
_________________________________ |
| Address: |
_________________________________ |
for the MCF Palmer Award for the year ______ in
recognition of outstanding contributions to the art and
sciences of chromatography as it relates to the
membership of the MCF. The above individual merits
consideration based upon the following contributions and
attributes:
Scientific Contributions:
(Papers, Presentations, abstracts, patents, unclassified
reports, etc.)
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
MCF Contributions: (Cite
specific contributions,
offices held, courses taught, etc.)
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Individual Attributes: (e.g.,
Professional stature,
leadership, personal qualities)
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
| Nominator's signature: |
________________________ |
| Second signature: |
________________________ |
| Nominator’s name: |
________________________ |
| Address: |
________________________
________________________
________________________ |
| Phone: |
________________________ |
Attach additional
pages if desired.
The Palmer Award Committee
will contact you if more information is required.
Return by April 15 to:
Minnesota
Chromatography Forum
P.O. Box 44562
Eden Praire, MN 55344
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