The Rising Star Award is presented annually to an Instructor or Assistant Professor level individual that has shown potential as a leader in the field of neurorehabilitation.

Please complete the form below to nominate someone for this award. Self-nominations are accepted.

Rising investigator in science and innovation for neurorehabilitation (rising star) award

Nominee Name: *

Nominee Address: *

Nominee City: *

Nominee State/Province *

Nominee Postal Code: *

Nominee Country: *

Nominee Email Address *

Is the nominee at an Instructor or Assistant Professor level? *

Yes

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Provide a detailed narrative of the nominee's contributions to neurorehabilitation that has shown their potential as a leader in the field: (Maximum of 2,000 characters) *
(Maximum characters: 2000)
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List any other information that encouraged you to nominate this person for the award: (Maximum of 2,000 characters) *

Please upload a PDF of the nominee's CV/resume: *

Nominator Contact Information

Nominator Name *

Nominator City *

Nominator State/Province *

Nominator Postal Code *

Nominator Country *

Nominator Email Address *

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