Fred Yates Prize Nomination Form Section A – About the NomineeName* Mr.Mrs.MissMs.Dr.Prof.Rev. 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 NominatorName* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First name Surname Current post:*Institution:*Email* Reason for nomination (max 150 word):*Section C – ConfirmationsNominee is a current SSA member or associate:*YesNoNominator is a current SSA member or associate:*YesNoNominee 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 YesNo