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Nomination(Form(
IGAC(Scientific(Steering(Committee(
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In!addition!to!this!form,!please!include!a!short!25page!CV!and!a!list!of!the!top!10!publications!for!the!
candidate.!Please!send!nomination!packets!to!megan@igacproject.org!by!15!May!2015.!
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Details(of(Candidate(Nominated:(
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Last(Name:( (
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First(Name:(
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Date(of(Birth:(
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Nationality:(
Year(of(PhD(or(Highest(Degree:(
Granting(Institution(of(Highest(Degree:(
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Job(Title:(
Institute:(
Department:(
Postal(Address:(
City(and(State/Province:(
Postal(Code:(
Country:(
Telephone:( (
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Email(Address:(
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Scientific(Expertise:(
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Submitted(By:(
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Title:( (
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Last(Name:( (
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First(Name:(
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Job(Title:(
Institute:(
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Reason(for(Nomination:(