Jellinek Memorial Awards

Online Nomination

Each year since 1968, the Jellinek award has been given to the person considered to have made the greatest scientific contribution to problems relating to alcohol in the research area designated for that year.

The awards are made in four annually rotating subject areas:

1. Biological and medical research
2. Social cultural and policy studies
3. Behavioral (Clinical and Experimental) studies
4. Epidemiology, population studies and economics

Only living scientists are eligible for the award. The award committees have generally favored scientists who are likely to continue working in their field rather than those whose active working careers have ended.

Members of the Board of Directors of the Jellinek Memorial Fund are anxious to receive as many worthy nominations as possible. To encourage many submissions, this online form is short and intended to be non-burdensome. Further information will be requested only from those nominators whose nominees end up on the final short list of potential awardees.

	Please provide the following information about yourself. Fields with * sign are required.
Last Name:*
First Name:*
Email Address:*
Title:
Affiliation:
Address:
City:
Province:
Country:
Telephone:*
	Please provide the following information about the person you want to Nominate.  Fields with * sign are required.
Last Name:*
First Name:*
Title:
Affiliation:
Address:
City:
Province:
Country:
Telephone:*
Short Statement:*	Short statement (200 words max) regarding the principal contributions of the scientist nominated to the designated disciplines for this year's award.
Most Important Contributions:*	Please cite the three most important journal or book references written by the nominee during the past 10 years.

If you prefer, you may print a copy of this form and return it by mail to the following address:

The Chair of the Selection Committee
or
Val Cabral
1091 Westmount Avenue
Mississauga, ON
Canada L5E 1X6

The Board of Jellinek Memorial Fund thanks you for your nomination and the time you spent on submitting it.

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