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2011 Fred L. Soper Award
 
     
 

The 2011 Fred L. Soper Award for Excellence in Public Health Literature Nomination Form

Before completing this nomination form, please be sure that you have read and understand the award guidelines. Please ensure you complete all the required fields in your application.

Instructions: Please fill in all the requested information on the nomination form and attach a letter of nomination (two-page limit) signed by the nominator, a clearly readable copy of the nominated article, proof that the article was published in a scientific journal indexed in a medical database (e.g., PubMed, SciELO) or the Pan American Journal of Public Health in the past three years, and a curriculum vitae of the person accepting the award on behalf of the article (the first or corresponding author).

Nominations may be completed by any researcher, journal editor, or health professional including self-nomination. Unfortunately, we are unable to consider unsigned documents.

To be considered, please ensure that you have completed and submitted the online nomination on or before the closing date of the call.

All items marked with an asterisk (*) must be completed.

Note: You must click the “Save” button at the bottom of each page to save your responses.

If you have questions about completing this form, contact

 
  STEP 1 of 4  
  First or Corresponding Author’s Information
 
First or corresponding author’s name *
  Title *
  Current position *
  Institution *
  Address *
  City *
  State or province *
  Country *
  Website
  Telephone number *
  E-mail address *
  Nationality *
  Specialty *
Academic Degrees
(Please list in reverse chronological order)
Degree, Name of university, Year of graduation
* 1.
2.
  3.
  4.
  Recent Professional Experience
  (Please list in reverse chronological order)
  Title, Organization, Years
  * 1.
  2.
  3.
  4.
     
 
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