XIXth CONGRESS OF THE INTERNATIONAL ASSOCIATION OF GERONTOLOGY
July 5-9, 2009
Busse Research Awards
Application Form
Name
of Nominee/Applicant:
___________________________________________________________
Current
Appointment of Nominee/Applicant:______________________________________________
Name
and Address of Nominator:________________________________________________________
Names
and Addresses of Seconders:
1)
_______________________________________ 2)
_________________________________________
(TYPE IN ENGLISH)
Statement of Nominee/Applicant's Research Contributions and
the
Significance of those Contributions (not more than 1000 words; use additional
sheets as necessary):
Statement
(continued)
Attach:
6 copies of this completed
application form
6 copies of nominee/applicant's
curriculum vitae
1 copy of letters from nominator and
seconders
6 copies of 3 to 5 significant
publications/research reports (or summary details)
(Deadline - receipt by October 1, 2008)
Mail
documents to: If you ship by courier service, use the
following address:
Harvey
Jay Cohen, M.D., Jury Chair Busse
Research Awards
Busse Research Awards Room
3502, Blue Zone