Division of Polymer Chemistry

AMERICAN CHEMICAL SOCIETY

Division of Polymer Chemistry Award Nominations Cover Sheet Nomination Submitted for: o Herman F. Mark, Div. of Poly. Chem. Award o Mark Young Scholar o Mark Scholar o Mark Senior Scholar

Industrial Polymer Scientist AwarĚ Carl S. Marvel Creative Polymer Chemistry Award Paul J. Flory Polymer Education Award Div. of Poly. Chem. (POLY) Fellows *

Nominee's Name and Address:

Nominee's Date of Birth: Nominee's Phone: Nominee's E-mail Address: ACS/POLY Membership #:

Nominator's Name and Address:

Nominator's Phone: Nominator's E-mail Address:

ACS National Meeting Symposia Organizer: (*POLY Fellows - No Symposium - Exempt*) Symposium Organizer's Name and Address: Symposium Organizer's Phone: Symposium Organizer's E-mail Address: Brief biosketch & summary of nominee's accomplishments to be used as a press release:

Nomination Procedure: All submission and review of nominations are handled electronically. Please complete this application form and include it as the first page of the nomination package. To complete the package please include a nomination letter describing the accomplishments of the nominee (3 pages maximum), the nominee's curriculum vitae, three representative publications of the nominee, and two supporting letters (1 page per letter maximum). The entire nomination package should be compiled as single PDF file and e-mailed to the Polymer Division Business Office: [email protected] (For additional question call 540-231-3029.)