The Joan Mott Prize Lecture celebrating Women Physiologists Nomination Form

Please note:

Nominee Name(Required)

First Last

Institution(Required)

Nominee Email(Required)

Nominee citation count or h-index(Required)

A description of how the body of work of the nominee has changed our understanding of physiology (150 words max)(Required)

Please Note: Word count is 150 words. Any additional words will be cut.

A description of the impact the nominee’s work has had inside and outside academia (150 words max)(Required)

Please Note: Word count is 150 words. Any additional words will be cut.

A description of how the nominee has promoted the involvement of women in physiology (150 words max)(Required)

Please Note: Word count is 150 words. Any additional words will be cut.

Details of any career breaks and/or challenges that may have been overcome (150 words max)

Please Note: Word count is 150 words. Any additional words will be cut.

Proposer Name(Required)

First Last

Proposer Institution(Required)

Proposer Email(Required)

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