Perkin Medal Nomination Form



Nominations from SCI member companies 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
  • awards
  • patents
  • publications
  • resume
  • technical  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.