SCI

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

SCI-America Administrator

Society of Chemical Industry

315 Chestnut Street

Philadelphia, PA 19106

USA

 

E: sci-america@sciencehistory.org

T: 1 215-629-5150

F: 1 215-629-5353

 

Thank you for your nomination.