Fred Yates Prize Nomination Form

Section A – About the Nominee
Name*
Title First name Surname
Current post:*
Institution:*
Email*
Publications:*
Details of any grants held:*
Previous/relevant roles/posts with dates:*
Personal statement from the nominee (max 150 words):*
CV*
Section B - About the Nominator
Name*
Title First name Surname
Current post:*
Institution:*
Email*
Reason for nomination (max 150 word):*
Section C – Confirmations
Nominee is a current SSA member or associate:*
- Yes
- No
Nominator is a current SSA member or associate:*
- Yes
- No
Nominee is willing and able to attend the SSA annual Conference in 2021* to receive their award and present their work:
* Thu 4 & Fri 5 November. Maximum £500 towards expenses will be reimbursed by the SSA
- Yes
- No

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Section A – About the Nominee