Cosmology Nomination Form | The Gruber Foundation

All requested information must be provided
All materials must be submitted in English

Date:

Nominee (Include Current Title):

Nominee Email:

Nominee Work Phone (enter ‘None’ if none):

Nominee Home Phone (enter ‘None’ if none):

Nominee Cell Phone (enter ‘None’ if none):

Most recent affiliation and current address:

List 1 to 5 publications by the nominee that exemplify the nominee’s contributions to Cosmology:

Cover letter explaining what the nominee has done and why it is important in Cosmology (broadly interpreted). Please make it concise, but long enough to make the case. (250 – 1000 word limit):

Nominator:

Nominator Email:

Mailing Address:

Nominator Work Phone (enter ‘None’ if none):

Nominator Home Phone (enter ‘None’ if none):

Nominator Cell Phone (enter ‘None’ if none):

Nominator Fax (enter ‘None’ if none) :

Curriculum Vitae:

Please attach the nominee's curriculum vitae WITHOUT a full list of publications. If you are unable to attach the CV, you may e-mail it to: nominations@gruber.yale.edu The required letter of support must be supplied by the deadline or the nomination is invalid.