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2020 Filerman Prize Nomination Form

The Filerman Selection Committee, appointed by the Chair of the AUPHA Board of Directors, will evaluate the nominations. 

Please complete and submit the following form no later than May 15, 2020 for consideration. Please contact Chris Anne Sanyer, Director of Membership, if you have any questions. 
1. Nominator Contact Information *This question is required.
Space Cell Response
Name
University/Organization
Email address
Phone Number
2. Nominee Contact Information *This question is required.
Space Cell Response
Name
University
Email address
Phone Number
3. Upload Nominee's Curriculum Vitae *This question is required.
4. Upload Nominee's Biosketch *This question is required.
5. Upload Nomination Letter #1 *This question is required.
6. Upload Nomination Letter #2 *This question is required.
7. Upload high resolution head shot of Nominee *This question is required.