Neuroscience Nomination Form | Gruber Foundation

All requested information must be provided
All materials must be submitted in English
Up to two letters of support are welcome, though not required

If you experience an issue uploading documents simply email them to: info@gruber.yale.edu and we will add them to the nomination file**

Nominee

Nominee Email

Nominee Work Phone

(enter "None" if none)

Nominee Home Phone

Nominee Cell Phone

Title, affiliation and current address

Up to twelve (12) key journal references that illustrate the nominee’s contributions

(give full citation, including article title)

Importance of nomination and context of nominee's work within field

(please limit to 100 words)

Scientific Achievements, including reason for nomination

(Please limit to 250 words)

Nominator

Nominator Email

Nominator Mailing Address

Nominator Work Phone

(enter "None" if none)

Nominator Home Phone

Nominator Cell Phone

Nominator Fax

Curriculum Vitae

Please attach the nominee’s curriculum vitae WITHOUT full list of publications.

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Support Letters and Additional Documents