WORLD ACADEMY OF CERAMICS - INTERNATIONAL CERAMICS PRIZE 2020

NOMINATION FORM

TO BE FILLED IN, DOWNLOADED AND RETURNED BY MAIL
TOGETHER WITH THE SUPPORTING LETTERS TO:
WORLD ACADEMY OF CERAMICS    Corso Mazzini 52    48018 FAENZA    ITALY
NOT LATER THAN MARCH 15, 2019

(Please refer to the Nomination Procedures before filling in this form)

 

1. Nominator Name

Institutional affiliation and title:

Complete office mailing address:

Phone: E-mail
Home address (optional):

Phone: E-mail

 

2. Candidate Name

Institutional affiliation and title:

Complete office mailing address:

 

3. Supporters of Nomination (letters attached. At least two supporters are required)
  Name

Name

Name

Name

 

4. Achievement for which the candidate is nominated:

 

5. Brief description of the achievement:

 

6. Additional documentation (optional):
  Brief Curriculum Vitae of Candidate
Selected List of Publications
Reprints of representative Papers (up to 3 papers related to the basis for nomination)
Others (up to 3 papers related to the subject of the nomination)