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ABOUT SSL CERTIFICATES
If you'd rather download the PDF paper form, please click here.

GSA Fellowship

Nomination Form

Nomination Deadline: 1 February
Send an e-mail to awards@geosociety.org with questions.

All fields are required.

Nominating Fellow Information
NOTE: A GSA Fellow may submit two nominations per election cycle, only ONE of which may be as a primary nominator. A GSA member may not be a primary nominator but may be a secondary nominator for no more than TWO nominees per election cycle. [ view supporting materials requirement ]

Name
First
Middle
Last
E-mail:
Affiliation
GSA Member ID
Don't know your Member ID? Click here.
Nominee Information

Name
First
Middle
Last
Title
Affiliation

Address
Street
City
State/Prov
ZIP/Postal
Country
Phone
E-mail
Support Information

The following two members of the Society (at least one of whom must be a Fellow) know the professional qualifications of the nominee and acknowledge that they support this nomination:


Member 1
Name
Fellow
Yes
No

View supporting
materials requirement
Affiliation*

Member 2
Name
Fellow
Yes
No

View supporting
materials requirement
Affiliation*
* At least one sponsor must be from an organization other than that of the nominee.
Not sure if the supporting Members are Fellows? Click here for current list.
Ranking Information

Please indicate the category that most accurately describes the distinguished contributions of the nominee. If more than one applies, select and rank only the categories that most accurately describe the distinguished contributions of the nominee. The selected contributions must be described in the letter of nomination, as well as in the supporting letters.

Rank
1=Most important

A. Publication of the results of geologic research
B. Applied research
C. Training of geologists
D. Administration of geological programs
E. Public awareness of geology
F. Professional organizations
G. Editorial, bibliographic, and library responsibilities
H. Other

Reason for Nomination

Please provide a brief statement (50-word maximum) of reason for nomination, which will be published in the July issue of GSA Today upon the nominee's election.

Statement

50-word maximum (use word processor to check word count before pasting here).