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2011 Pedro N. Acha Award

The 2011 Pedro N. Acha Award for Excellence in Veterinary Public Health 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 research paper based on an undergraduate thesis, a clearly readable copy of the undergraduate thesis, and curriculum vitae of the nominee. 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  
  Author Information  
  Author’s name *
  Title *
  Current position *
  Institution *
  Address *
  City *
  Country *
  State or province *
  Telephone number *
  E-mail address *
  Nationality *
  Specialty *
  Academic Degrees
  (Please list in reverse chronological order)
  Degree, Name of university, Year of graduation
  * 1.
  Recent Professional Experience
  (Please list in reverse chronological order)
  Title, Organization, Years
  * 1.