Southern Arizona ACS Section

SAZACS Web Site

H. Wayne Adickes Service Award

This award is given to recognize the volunteer efforts of individuals who have served the Southern Arizona Section of the American Chemical Society, contributing significantly to the goals and objectives of the Section.

Criteria: A nominee must be a member of the Southern Arizona Section of the American Chemical Society and have made significant contributions to the Section. The volunteerism to be recognized may include a variety of activities, including but not limited to the initiation or sponsorship of a singular endeavor or exemplary leadership in the Section.
 

Please use the form below

 

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H. Wayne Adickes Service Award
 
NOMINATION FORM

Deadline: March 31

 

Section:  SOUTHERN ARIZONA

Date:       

 
NOMINATOR INFORMATION

First Name:      

Middle Initial:      

Last Name:      

Company or Institutional Affiliation:      

Present Position (Exact Title):      

Address:      

City:      

State:      

Zip:      

Country:      

Telephone:      

Fax:      

Email:      

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NOMINEE INFORMATION

First Name:      

Middle Initial:      

Last Name:      

Local Section:      

Company or Institutional Affiliation:      

Present Position (Exact Title):      

Address:      

City:      

State:      

Zip:      

Country:      

Business Telephone:      

Home Telephone:      

Fax:      

Email:      

Website:      

 

Has this nomination been discussed with the nominee?  Yes  No

 

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Recommendation

Please attach a narrative summary evaluating the nominee’s volunteer accomplishments and service to the Section.  Explain why the nominee is being recommended for this award with regard to the stated purposes of the award.

     

 

BIOGRAPHICAL SKETCH

Please attach a brief biographical sketch (or curriculum vitae) of the nominee.

     

 

Support FORMS

Support forms are being requested from the following individuals (No more than two will be accepted).

Please provide Name, Affiliation, Telephone, and Email

1. ______________________________________________________________________

2. ______________________________________________________________________     

Submittal process: Submit each of the following: nomination and support forms, and biographical sketch (or curriculum vitae) to

 

Dr. C. J. Pommier,

Ventana Medical Systems, 1910 E Innovation Park Dr., Tucson, AZ,

85755. Phone: (520) 229-4381

 

email: cjpommier@yahoo.com

 

 

Nominations will be solicited from individuals.

The awards committee of the Section, or its equivalent, will select the recipient.

 
The award consists of a plaque to be presented at the Awards Reception held in late April.