August 5 - Clone of 2025 Merkin Prize Nomination

Eligibility Requirements
- Technology Name*
- List all nominators.*
- Please provide contact information (name and email) for receiving Merkin Prize & Nomination related correspondence. *
- Individuals, teams, and/or combinations of individuals and teams may be nominated for the prize.
  
  Although no absolute limit has been placed on the number of individuals included in a nomination, more than four is discouraged except under exceptional conditions. If nominating a team, no more than 50 members of the team may be nominated. Please note: Self-nominations are not permitted.
- YesNo
- Self-nominations are not permitted.
  
  The remainder of the nomination form is now disabled. You may save your nomination, but you will not be able to submit it. Visit merkinprize.org/eligibility for more information on eligibility requirements or email merkinprize@broadinstitute.org with questions.
- IndividualTeamCombination of Individuals and Teams
- Team Nomination
  
  To qualify for a nomination that includes a team as a potential recipient, each team member should be considered an essential component, having contributed directly to the development of the nominated technology through experimental work. Those in primarily administrative roles are not eligible for the prize.
- List the names, titles, affiliations, and research areas of up to 50 team members. *
  Note: CVs and biographies are not required for team nominations.
- Individual Nomination
  
  Although no absolute limit has been placed on the number of individual nominees, more than four is discouraged except under exceptional conditions.
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions. *
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- Add a nominee
- List nominee name, affiliation, and a biography of up to 300 words highlighting their background, key accomplishments, and current positions.
  
  Word Limit:0/325
- If you'd like to nominate additional individuals, please contact the Merkin Prize Program Manager at merkinprize@broadinstitute.org.
- Upload a CV for each nominee. *
  
  Accepted File Formats: PDF or Word Documents
  Cancelof
- If individuals or teams other than the nominees have contributed in significant ways to the development of the nominated technology, list up to four who have made the most prominent contributions and a statement of up to 100 words of why each was excluded from the list of the nominees.
- #1. Individual or team and why they were excluded from the list of the nominees. (Up to 100 words)
  
  Word Limit:0/100
- Add Individual or Team
- #2. Individual or team and why they were excluded from the list of the nominees. (Up to 100 words)
  
  Word Limit:0/100
- Add Individual or Team
- #3. Individual or team and why they were excluded from the list of the nominees. (Up to 100 words)
  
  Word Limit:0/100
- Add Individual or Team
- 4. Individual or team and why they were excluded from the list of the nominees. (Up to 100 words)
  
  Word Limit:0/100
- Provide a summary that names the technology and indicates how it has improved human health. (Up to 50 words)*
  
  Word Limit:0/50
- Briefly explain the novelty, purpose, and clinical impact of the nominated technology. (Up to 150 words) *
  
  Word Limit:0/150
- Describe in detail the development of the nominated technology. (Up to 1000 words) *
  
  Word Limit: 0/1000
- Describe in detail the past, current, and projected clinical impact of the nominated technology. (Up to 1000 words)*
  
  Word Limit:0/1000
- Describe in detail the substantive & quantifiable contributions of each nominated individual or team and how they played critical roles in the development of the technology and/or the application of the technology to improve human health, such as prevention, diagnosis, or treatment. (Up to 1000 words)*
  
  Word Limit:0/1000
- Please provide citation information only.
- List the citations for up to ten articles that represent the work of the entire set of nominees and are central to the development or use of the nominated technology. *
- Preferably, the recommended evaluators will not be employed by the same institution as the nominees nor have collaborated with the nominees in the performance of relevant studies.
- Provide the names and emails of up to six knowledgeable individuals who could provide a critical evaluation of the prize-worthiness of the nominated technology, its clinical impact, and whether those nominated are the key contributors.*
- How did you hear about the Merkin Prize?*
- If selected other, please explain.
- Please verify that you are human*
- To save a draft of your nomination, click the "save" button below. You will be prompted to provide an email address. You must provide an email address for the draft to be saved. This form does not "autosave."
  
  To submit your nomination, click the "review & submit" button below. You will be directed to a new page to review your responses. Once your nomination has been submitted, you'll be directed to a confirmation page and receive an email.
  
  If you encounter any technical difficulties, please email merkinprize@broadinstitute.org.
- Should be Empty:

Eligibility Requirements

Individuals, teams, and/or combinations of individuals and teams may be nominated for the prize.

Self-nominations are not permitted.

Team Nomination

Individual Nomination