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IMS Fellow

 

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Nomination Form for IMS Fellow

Please see here for complete details on nominating an IMS Fellow.

 

Nominee information

 

*required fields

   
Name*
(first middle last/family)

Address*

Date of Birth*
(mm/dd/yyyy)


Please list all degrees*
Degree (e.g. Ph.D.), Field (e.g. Statistics), University, date

Please list all positions

Current Position*
Institution/University, Title/Position, Dates (e.g. Jul 1985 - present)
Past Positions*

Please draft here a citation that might accompany the election to Fellowship*


List of not more than five publications or other reasons for the nomination*


Comments

 

Your (Nominator) information

   
Name*
(first middle last/family)

   
Address*
   

Email*

 

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