2026 Florey Next Generation Award

Florey Next Generation Award

2026 Nomination Form
Welcome to the Florey Next Generation Awards!

This is an online form. You can press SAVE at any time. If you press SAVE you will be emailed a link to come back to the form.

Once you have completed your nomination form, please press SUBMIT. You will see a "thank you" note and both nominator and nominess will receive an email confirmation.

If you have any queries, please contact us at marketing@aips.net.au
NOMINATOR
Florey Next Generation Year
Title
Name

First NameLast Name
Position/Title
Organisation/Institution
Email
example@example.com
Mobile phone number
Please enter a valid phone number.Format: 0000-000-000.
NOMINEE
Title
Name

First NameLast Name
Gender that nominee identifies with:
Position/Title
Current Employing Organisation/Institution
Email
example@example.com
Mobile Phone Number
Please enter a valid phone number.Format: 0000 000-000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NOMINATOR
Please provide a description of the significance of the nominee’s achievements and the potential significance of their research. This description could be prepared in collaboration with the nominee. This should be written so it could be understood by the general public.

Max 400 words to be completed by the Nominator0/400
Please also include upload a copy of the Nominee's CV and please record a 90 second video where the nominee talks about the potential significance of their research.

The video should be uploaded to YouTube as a public video and the link listed below in the application form. Ensure you test that the YouTube link works!
Nominee's CV

Max 3 pages which can include reference to no more than five publications by the applicant.
Cancelof
YouTube video link
www.youtube.com/watch...
Should be Empty:

Florey Next Generation Award

NOMINATOR

NOMINEE

NOMINATOR