CLF-CASL Gold Medal Award
NOMINATION FORM
Name of Nominating CASL Member
First Name
Last Name
Email (for clarification/questions):
example@example.com
Institution
Relationship to Nominee (e.g. colleague, collaborator, trainee):
Name of Nominee:
First Name
Last Name
Institution of Nominee:
The CLF-CASL Gold Medal Award recognizes an individual who has made an outstanding contribution to liver-related research.In the following space, please outline the accomplishments of the nominee that, in your opinion, qualify them for this award. You may use extra space if necessary, or submit a letter containing the same information.
Submit
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