Laboratory Medicine Foundation Award nomination

The deadline for submitting nominations is 31 January 2025.

I am self nominating

Proposer details (if not self nominating)

First name

Last name

Email Address

What is the name and address of your place of work?

Check this box to confirm the proposer is a Member.

I confirm.

Nominee details

What is the nominee's first name? ^*

What is the nominee's last name? ^*

What is the nominee's email address? ^*

What is the nominee's work address? ^*

Check this box to confirm the nominee is an Association Member. ^*

I confirm.

Nomination details

Please outline the nominee's contribution to laboratory medicine and your reasons for nominating them for the Foundation Award. ^*