AAMI Sterilization in Science Award PRO TIPS: Please fill out the following form carefully and completely, noting all of the required fields. All email addresses must be in valid xx@xx.xx format. 16 MB limit on all file uploads. Your nomination is only submitted once you have reached a screen with a green top bar saying “Thank you for taking this survey”. Files and supplemental materials may be emailed to awards@aami.org. Please direct any questions or support needs to awards@aami.org. Nominee Information: Question Title * 1. Nominee's Name: Question Title * 2. Title: Question Title * 3. Company/Affiliation: Question Title * 4. Mailing Address: Question Title * 5. Phone Number: Question Title * 6. Email Address: Nominator Information: Question Title * 7. Nominator's Name: Question Title * 8. Title: Question Title * 9. Company/Affiliation: Question Title * 10. Mailing Address: Question Title * 11. Phone Number: Question Title * 12. Email Address: Question Title * 13. Are you affiliated with the nominee? Note yes or no, and if so, describe your affiliation: Award Criteria: Nominees must meet all of the following: Question Title * 14. Nominee has a strong record of development and deployment of original, peer-reviewed published and/or presented research, innovative methodologies, or novel technologies that demonstrate scientific rigor and integrity, accuracy, and reproducibility. Please describe: Question Title * 15. Nominee has made a substantial and sustained impact on the field of sterilization, sterility assurance, and contamination control through adoption or incorporation of their research findings, methodologies or technologies by the sterilization community leading to improved practices and enhanced patient safety. Please describe: Question Title * 16. Nominee has a history of active and productive collaboration with other researchers, industry professionals, or regulatory bodies to advance the science of sterilization, sterility assurance and contamination control. Please describe: Question Title * 17. Nominee has demonstrated leadership in serving professional organizations, initiating and coordinating collaborative research, or organizing conferences or workshops related to sterilization and sterility assurance. Please describe: Question Title * 18. Nominee has provided mentorship of earlier career professionals in the field of sterilization, sterility assurance, and contamination control. Please describe: Question Title * 19. Nominator Cover Letter: Upload nominator’s cover letter that provides a rationale statement describing the extent to which a specific project within the nominee’s work history has had a global impact on patient care or patient safety. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload nominator’s cover letter that provides a rationale statement describing the extent to which a specific project within the nominee’s work history has had a global impact on patient care or patient safety. Question Title * 20. CV/Resume: Upload a current CV/Resume for the nominee(s) here. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload a current CV/Resume for the nominee(s) here. Question Title * 21. Letter of Recommendation: Upload a letter of recommendation supporting this nomination from supervisors, colleagues, and industry partners here. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload a letter of recommendation supporting this nomination from supervisors, colleagues, and industry partners here. Question Title * 22. 2nd Letter of Recommendation: Upload an optional additional letter of recommendation supporting this nomination from supervisors, colleagues, and industry partners here. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload an optional additional letter of recommendation supporting this nomination from supervisors, colleagues, and industry partners here. Question Title * 23. Nominators are encouraged to submit examples and/or supporting documents that highlight additional activities relevant to this award. Please upload any desired supporting documents here. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload any desired supporting documents here. Done