Award: name of award or medal
Twenhofel Medal Pettijohn Medal Shepard Medal Moore Medal Wilson Award Honorary Member

Nominee: name of person being nominated
First:

Middle:

Last:

Email contact:

Date of Birth: (for Wilson Award only)
mm/dd/yyyy

Affiliation: institution, company or address of nominee

Education: basic degree information

Summary of Major Scientific Contributions: a one page summary of why this person should be given this award

Professional Activities: a one page summary of the important activities from the nominee's background contributing to sedimentary geology activities, within and outside of SEPM

Other Honors and Awards: other significant recognition

Bibliography: list the most significant publications (a complete bibliography is not required but may be sent as a seperate attachment)

I will submit an electronic bibliography via email to Michele Tomlinson

Additional Supporting People: name and contact information of three individuals who will provide supporting letters.

1)
Name:

Phone:

Email:

2)
Name:

Phone:

Email:

3)
Name:

Phone:

Email:

Nominated by: your name and contact information

Name:

Phone:

Email:

.