Nominate for the Gold Medal

Only nominations submitted by the nomination deadline (March 15th annually) will be considered. Nominations submitted after the deadline will be considered in the following year. Submissions must be filled out in their entirety and cannot be accessed again.

NOTE: This form does not have an automatic save function. Please ensure that you save your work elsewhere to ensure it is not lost in completing this process.

Nominator Name^*

First

Last

Email^*

Phone^*

Address^*

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Is the Nominator an RCGS Fellow?^*

Yes

Nominator Details^*

Brief description of nominator including relationship to nominee

Nominee Name^*

First

Last

Email^*

Phone^*

Address^*

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Description of the Particular Achievement or Event^*

Description of the Particular Achievement or Event

Nomination letter

No file chosen

Please upload a two-page (maximum) nomination letter that: • specifically describes the accomplishment or event in relation to the award criteria This letter is very important in the assessment of the nomination • justifies why the individual or group is worthy of the Gold Medal

Abridged CV of Nominee

No file chosen

Please upload an abridged version of the nominee's curriculum vitae and a report of the accomplishment or event may be appropriate. A strictly enforced total maximum of ten (10) pages is available for both the CV and list of publications. These should be saved as a single attachment

Additional letters of support (strongly recommended)

Drop files here or

Up to four additional one-page letters of support for particular aspects of the nominee's achievements may be uploaded.

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