Amateur Achievement Award Nomination Form

Fill out form online by typing into the text boxes. Print the form from your browser and return by
15 December of nominating year to:

Awards Committee/Amateur Achievement
Astronomical Society of the Pacific
390 Ashton Avenue
San Francisco, CA 94112
   
Name of nominee:
Address:
Address 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
Email:
   
Reason for nomination
(75 words or less):
 
Attach nominating letter giving a brief description of nominee's positions, affiliations, accomplishments, publications, etc. (for publications, please list name of author(s), volume/number, pages(s) and dates).
 
Letters of Support from others familiar with the nominee's accomplishments are an essential part of the nomination materials. Please indicate the names and e-mail addresses of at least three persons you have requested to provide support letters. The letters should be forwarded by you or sent directly to the ASP.
Name of Supporter 1:
Email:
   
Name of Supporter 2:
Email:
   
Name of Supporter 3:
Email:
   
Name of person making nomination:
Address:
Address 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
Email:
 
Signature of nominator:
 __________________________________________________
Date:


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