DPS Eberhart Award Entry Form

This year's deadline for Eberhart Award entries is past, nominations for 2011 will be due in the spring.

Instructions

Please fill out the entry form below and send it and all material to:

Jonathan Eberhart Award Application
c/o Sanjay Limaye
DPS Press Officer
University of Wisconsin
1225 West Dayton Street
Madison, WI 53706-1695
608-262-9541 Fax 608-262-5974

Any questions should be addressed to the DPS press officer at dpspress@aas.org.

The Eberhart Award Entry Form is not a web form! Cut and paste into your favorite word processor.

Eberhart Award Entry Form

Author Name: _______________________________________________

Author Affiliation: ________________________________________

Author Email Address: ______________________________________

Entry submitted by (name and e-mail address, if different from above):

_____________________________________________________________________


Date This Entry Form Submitted: _____________________________________

In the case of multiple authors, please add below, the name(s),
affiliations, and email addresses of all co-authors:






Year of publication for submitted material: __________________________

Title: _______________________________________________________________

______________________________________________________________________


Where Published: _____________________________________________________


Supporting Statement (optional; limit one page): 

May be written by the person submitting this entry form or
someone else familiar with the circumstances under which the material
was written, or familiar with (or included) in the scientific area
described.  It may be particularly helpful to describe the audience
for the submitted material and the significance of the publication's
impact.

Supporting statement submitted by (name and e-mail address, if different 
from above; may be submitted separately from this Entry Form):


_____________________________________________________________________

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