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IAPR Fellow Endorsement Form

IAPR Fellow Nomination 2016

Endorsers please complete the following confirmation form.

Note that each endorsement must be associated with a corresponding nomination!

1. NOMINEE INFORMATION

NOMINEE'S NAME

(Family Name)

(First Name)

(Middle Name)

2. NOMINATOR INFORMATION

NOMINATOR'S NAME

(Family Name)

(First Name)

(Middle Name)
NOMINATOR'S EMAIL
(A copy of this data will be sent to the nominator's email address.)

3. ENDORSER INFORMATION

ENDORSER'S NAME

(Family Name)

(First Name)

(Middle Name)
ENDORSER'S EMAIL
(A copy of this data will be sent to the endorser's email address.)
ENDORSER'S ORGANIZATION, COMPLETE ADDRESS
ENDORSER'S IAPR MEMBERSHIP
(IAPR member society of which the endorser is a member. (optional))
ENDORSER'S RELATIONSHIP TO NOMINEE
ENDORSER'S RECOMMENDATION
(How did you personally become aware of the importance of the accomplishments of the candidate and of their impact on the IAPR scientific community.)

4. Review Application Data

Please review the supplied information, and check the box below before clicking submit. A confirmation will be sent to the endorser's email address.
The supplied information is true and correct to the best of my knowledge.
 
 
 
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