AMERICAN ASSOCIATION FOR THE ADVANCEMENT OF SCIENCE FELLOW NOMINATION FORM FOR NEW AAAS FELLOWS

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AMERICAN ASSOCIATION FOR THE ADVANCEMENT OF SCIENCE 2014 3-FELLOW NOMINATION FORM FOR NEW AAAS FELLOWS A member of the AAAS whose efforts on behalf of the advancement of science or its applications are scientifically or socially distinguished may, by virtue of such meritorious contribution, be elected a Fellow by the Council. A group of three previously elected AAAS Fellows may serve as sponsors to nominate another AAAS member as a Fellow. Special Note for 2014 Nominees: Eligibility for nomination requires an individual to have been a continuous member of AAAS since December 31, 2010 or earlier. Members who joined after the December 31, 2010 cutoff date are not eligible for the 2014 cycle. Special Note for 2014 Sponsors: No Fellow may serve as a sponsor, whether primary, secondary or tertiary, on more than two 3-Fellow nominations in one year. As always, only previously elected AAAS Fellows may serve as sponsors. Instructions: Please complete the following four pages of the nomination form. Also, include a full CV and a complete list of the nominee s peer-reviewed publications and other major publications such as book chapters, review articles, outreach materials, etc. A separate document listing the nominee s ten most important papers must be appended. All three sponsors must submit a supporting letter of recommendation. Failure to complete all of the steps will result in a disqualified nomination. Deadline: Nomination packets must be completed and received by April 16, 2014 at 11:59 p.m. Eastern time. Nominations should be sent to fellownomination@aaas.org. Verification: Please verify with the AAAS Executive Office that the nominee is eligible to be elected a Fellow of the AAAS. Please email fellownomination@aaas.org with the nominee name and institution to obtain verification. Name of nominee: Nomination to be reviewed by AAAS Section on: Professional or business address: Home address: Email address:

PLEASE COMPLETE THIS PAGE (This page is intended to serve as a highlighted version of the nominee s CV. Please do not copy and paste the full CV here, or write see attached CV. ) Nominee s current position and institution: Education (give names of universities attended, dates, and degrees; state if honorary): Past positions (list chronologically, beginning with first): Select membership in professional organizations, including offices held: Select contributions to the advancement of science other than publications (including nonprint media, editorship, consultation, administration, and other significant service): Select awards, honors, citations, and special appointments (state source and year): 2

CHECK THOSE CRITERIA THAT APPLY TO THE NOMINEE: The criteria for advancing an individual to Fellow status in AAAS need not be the same as those employed by other scientific societies. The following examples of areas of significant contributions are illustrative but not exhaustive. All three letters of support should very clearly reflect the nominee s substantial contributions in each category selected. Research Teaching Technology Services to professional societies Administration in academe, industry, government, and other institutions Communicating and interpreting science to the public Other areas of contributions: list below CITATION GUIDELINES: The names of nominees will be submitted to the AAAS Council with citations. Insert below an appropriate citation OF NO MORE THAN 25 WORDS. (Examples: For distinguished contributions to the field of computational and theoretical chemistry, particularly for theoretical modeling and predictions of new applications of modern laser science. For distinguished contributions to the field of molecular and translational neuroscience, particularly using somatic cell gene transfer to study neuronal physiology and treat human disease. ) CITATION: Please continue to next page *********************** 3

SPONSOR REQUIREMENTS: ALL THREE SPONSORS MUST BE PREVIOUSLY ELECTED FELLOWS & CURRENT IN THEIR MEMBERSHIP. At least two of the three sponsors must be from an institution different from that of the nominee. The contact information for all three sponsors is required on the nomination form. The nomination form must be signed and submitted by the primary sponsor. It is the primary sponsor s responsibility to ensure that the full submission is received by the AAAS Executive Office by the deadline. Any submissions that are not complete and submitted by the deadline will not be considered. LETTER OF RECOMMENDATION REQUIREMENTS: All three sponsors must submit a signed supporting letter on letterhead. It is important that all three letters in support of a nominee be informational, with a clear indication of the areas in which a nominee has contributed (e.g., research, teaching, technology, service to professional societies, administration in academe, industry or government, etc.) and provide sufficient explanation of why the nominee merits this recognition. These may be submitted directly to AAAS from the sponsor or with the full submission packet. Primary sponsor s name: Mailing address: Email: Telephone number: PRIMARY SPONSOR S SIGNATURE: Second sponsor s name: Institution: Email: Third sponsor s name: Institution: Email: 4

2014 AAAS 3-FELLOW NOMINATION SUBMISSION GUIDELINES DEADLINE: APRIL 16, 2014, 11:59 P.M. EASTERN TIME Requirements Nominee has been verified by the Executive Office as a continuous member of AAAS since December 31, 2010.* All three sponsors are previously elected Fellows of AAAS. All three sponsors are current in their AAAS membership.** Sponsors (whether primary, secondary or tertiary) are serving on no more than two nominations in 2014. At least two of the three sponsors are from different institutions than that of the nominee. It is the primary sponsor s responsibility to ensure all material is submitted by the deadline. All materials (nomination form, full CV, list of top 10 publications and three sponsor letters) must be received by the deadline for the nominee to be considered as a 2014 Fellow. No exceptions will be made. *Inquires about a nominee s membership status may be obtained by writing to fellownomination@aaas.org. **Inquiries about the status of a sponsor s membership may be obtained by contacting AAAS Membership & Subscription Services at Membership2@aaas.org or by phone at (202) 326-6417. Nomination Form Nominee s contact and biographical information Section to which the nominee is forwarded (a key is attached) Citation in 25 words or less (page 3) Contact information and signature of primary sponsor Contact information of secondary sponsor Contact information of tertiary sponsor Additional Material Nominee s full CV, including a complete list of the nominee s peer-reviewed publications and other major publications, such as book chapters, review articles, outreach materials, etc. Document listing the top 10 most influential publications by the nominee Recommendation letter from primary sponsor (on letterhead with signature) Recommendation letter from secondary sponsor (on letterhead with signature) Letter may be sent directly to AAAS from the sponsor Recommendation letter from tertiary sponsor (on letterhead with signature) Letter may be sent directly to AAAS from the sponsor Submission Information Materials sent in hard-copy form must be postmarked by April 16, 2014 and should be sent to AAAS Executive Office Attn: Fellows Nominations 1200 New York Avenue NW Washington, DC 20005 Materials sent via email must be received by April 16, 2014 at 11:59 p.m. Eastern time and should be sent to: fellownomination@aaas.org 5

SECTIONS OF AAAS By Letter Code A Mathematics B Physics C Chemistry D Astronomy E Geology & Geography G Biological Sciences H Anthropology J Psychology K Social, Economic & Political Sciences L History & Philosophy of Science M Engineering N Medical Sciences O Agriculture, Food & Renewable Resources P Industrial Science & Technology Q Education R Dentistry & Oral Health Sciences S Pharmaceutical Sciences T Information, Computing & Communication U Statistics V Neuroscience W Atmospheric & Hydrospheric Sciences X Societal Impacts of Science & Engineering Y General Interest in Science & Engineering Z Linguistics & Language Science Alphabetical Agriculture, Food & Renewable Resources O Anthropology H Astronomy D Atmospheric & Hydrospheric Sciences W Biological Sciences G Chemistry C Dentistry & Oral Health Sciences R Education Q Engineering M General Interest in Science & Engineering Y Geology & Geography E History & Philosophy of Science L Industrial Science & Technology P Information, Computing & Communication T Linguistics & Language Science Z Mathematics A Medical Sciences N Neuroscience V Pharmaceutical Sciences S Physics B Psychology J Social, Economic & Political Sciences K Societal Impacts of Science & Engineering X Statistics - U 6