SCI

Perkin Medal Nomination Form

 

Nominations from SCI member companies must be submitted no later than July 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
  • awards
  • patents
  • publications
  • resume
  • technical accomplishments

Please send your nominations (preferably by email) to:

Resa Thomason
Executive Director
Society of Chemical Industry America
315 Chestnut Street
Philadelphia, PA 19106
United States of America

E: sci-america@sciencehistory.org

T: 1 215-873-8207

Thank you for your nomination.