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Nomination Form for Physics and Astronomy Faculty Workshop

Nomination Form for the Summer 2020 New Faculty Workshop

June 25 - 28, 2020
Sheraton Gateway Los Angeles, CA

The deadline for nominations is Friday February 28 at 5:00 pm Eastern Time.

Please enter all requested information. Begin by entering the nominee's information and finish by entering your name, email address, and any additional comments in support of the nomination. A confirmation will be sent to you and the nominee.

Note: If you are a department chair and wish to apply to be a participant in the workshop, please ask your Dean to submit the nomination form using the Dean's name and email address in substitution for Department Chair name and email address on the form.

By nominating the faculty member for the New Faculty Workshop, you are agreeing that your institution will pay for the nominee's travel to and from the Sheraton Gateway Los Angeles and the $375 workshop registration fee. The registration fee is payable once the nominee is accepted for the workshop. Limited financial support, primarily for faculty from minority-serving institutions or from departments with severely limited financial resources, is available. Please contact Bob Hilborn (rhilborn@aapt.org) for further information about financial support.

 
First Name:*
Last Name:*
Academic Rank:*
College/University Affiliation:*
College/University Address:*
 
City:*
State:*
Zip:*
Institution Type:*
Phone:*  Fax:
Email:*
Gender:* Male Female Other
Primary Specialty:* Physics Astronomy/Astrophysics/Cosmology
Subdiscipline:
(optional)
Year of Initial Appointment:
*
Department Chair:*
Department Chair Email:*
Additional Comments
in Support of Nomination:
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