AACR Team Science Award 2015 Nomination Form
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1 THE AWARD The AACR Team Science Award will recgnize an utstanding interdisciplinary research team fr its innvative and meritrius science that has advanced r likely will advance ur fundamental knwledge f cancer r a team that has applied existing knwledge t advance the detectin, diagnsis, preventin, r treatment f cancer. The team selected t receive the AACR Team Science Award will cllectively be awarded a prize f $50,000 and recgnized during the AACR Annual Meeting The representative institutins will be cited at the AACR Annual Meeting fr their leadership rle in fstering team science. NOMINATION PROCESS The cmplete nminatin package must be ed t awards@aacr.rg. Paper nminatins will nt be accepted. Preferred file frmat is *.pdf. A nminatin is nt cnsidered fully submitted until the crrespnding nminatr receives a cnfirmatin frm the AACR; cnfirmatins will be sent within 5 business days. The riginal signature page f the nminatin frm must cntain the riginal signatures f all Team Members. Phtcpies will nt be accepted. Nminatins must be ed t awards@aacr.rg. NOMINATION DEADLINE Wednesday, September 3, 2014 at 4:00 p.m. United States Eastern Time (electrnic submissin including signatures f all Team Members). Linda Stkes, Prgram Assciate Telephne: +1 (215) awards@aacr.rg QUESTIONS?
2 NOMINATION PACKAGE Nminatin frm including the fllwing infrmatin: Crrespnding nminatr infrmatin. A list f all members f the team, their prfessinal titles and affiliatins, with a descriptin f each member s substantive and quantifiable cntributin t the team. Primary cncentratin f research area. 50-wrd summary statement f the research accmplishment r accmplishments fr which the team is being nminated. A narrative, f n mre than 3,000 wrds, describing in-depth the research accmplishment r accmplishments fr which the team is being nminated as well as the significance and impact f the research, with n mre than twelve (12) relevant publicatins referenced within the narrative. A list f the publicatins referenced with the research narrative, with full citatins (n mre than 12). A narrative, f n mre than 1,000 wrds, describing the value-added activities f the team and the crdinatin f the research acrss the multiple perfrmance sites. A descriptive list f institutinal supprt f the team, such as pilt funding, technlgy transfer ffices, shared resurces, etc. Signatures f all Team Members. CV r Bisketch fr each Team Member must include full publicatin histry, written in English. Letters f endrsement frm the Dean, Department Head, r Directr f all institutins represented by the Team Members, cnfirming supprt fr the nminatin and certifying cntents f nminatin package, written in English.
3 I. CORRESPONDING NOMINATOR INFORMATION Full Name: Title/Psitin: Department: Institutin: Mailing Address: Cuntry: Telephne: Team Name: Primary Cncentratin f Research Area 50-wrd summary statement f the research accmplishment r accmplishments fr which the team is being nminated:
4 II. LIST OF TEAM MEMBERS List each member f the team, including prfessinal title and affiliatin, and a brief descriptin f each member s substantive and quantifiable cntributin t the team. Add additinal pages, if necessary. Team Leader s Full Name and Infrmatin: Team Members Full Names and Infrmatin:
5 III. RESEARCH NARRATIVE Describe in-depth the research accmplishment r accmplishment fr which the team is being nminated as well as the significance and impact f the research, with n mre than 12 relevant publicatins referenced within the narrative. Limit f 3,000 wrds ttal. Add additinal pages, if necessary.
6 IV. LIST OF PUBLICATIONS List full citatins f the 12 (r less) publicatins referenced within the prir narrative. Attach additinal pages, if necessary.
7 V. VALUE-ADDED NARRATIVE Prvide a narrative f n mre than 1,000 wrds describing the value-added activities f the team and the crdinatin f the research acrss multiple perfrmance sites. Attach additinal pages, if necessary.
8 VI. INSTITUTIONAL SUPPORT Describe r list the institutinal supprt f the team, such as pilt funding, technlgy transfer ffices, shared resurces, etc. Attach additinal pages, if necessary.
9 Signature Page AACR Team Science Award VII. CERTIFICATION Original signatures f the crrespnding nminatr and all Team Members are required. Attach additinal pages, if necessary. Phtcpies will nt be accepted. I certify that, t the best f my knwledge, all f the infrmatin in this applicatin is true. Crrespnding Nminatr s signature: Team Leader s signature: Print Team Leader s Name:
10 Signature Page (cntinued) AACR Team Science Award
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