Chemical Industry Medal Nominating Form



Nominations must be submitted no later than June 1.

Please provide as much of the following information about the nominee as you have readily available.


Name: __________________________________________________________________


Title: ___________________________________________________________________


Company (or last affiliation): ________________________________________________


Mailing Address: _________________________________________________________


Telephone: ______________________________________________________________




Nominated by: _______________________________


Company: ___________________________________


Date: _______________________________________



Please provide supporting documentation with this nomination form. Items that may be included, but not limited to:


  • a brief rationale for nominating the candidate
  • superior management – guiding organization through growth; strategic direction
  • service to the industry
  • achievement of industry-leading financial results
  • service to the community
  • awards
  • resume
  • other  accomplishments


Please send your nominations (preferably by email) to:


Resa Thomason

Executive Director

Society of Chemical Industry

315 Chestnut Street

Philadelphia, PA 19106




T: 1 215-629-5150

F: 1 215-629-5353


Thank you for your nomination.


Past Chemical Industry Medal Award winners

Chemical Industry Medal Award nomination rules