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  **"Must be postmarked by December 31."** Privileged Information

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+-----------------------------------+-----------------------------------+
| **\                               |                                   |
| NOMINATION FOR\                   |                                   |
| THE ALAN T. WATERMAN AWARD**      |                                   |
+-----------------------------------+-----------------------------------+
| Nominee      \                    | Nominator                         |
| \                                 |                                   |
| Name:                             | Name:                             |
|                                   |                                   |
| Address:                          | Address:                          |
|                                   |                                   |
| Telephone:    -   -               | Telephone:    -   -               |
+-----------------------------------+-----------------------------------+
| Biographical Data:                |                                   |
|                                   |                                   |
| 1.  Year and place of birth:      |                                   |
|                                   |                                   |
| Please check if U.S. Citizen      |                                   |
| Permanent Resident                |                                   |
+-----------------------------------+-----------------------------------+
| 2\. Education (Degrees,           | Major Discipline(s):              |
| institution and year awarded):\   |                                   |
| \                                 |                                   |
|                                   |                                   |
+-----------------------------------+-----------------------------------+
| 3\. Positions Held (Title,        |                                   |
| institution and years of          |                                   |
| service):                         |                                   |
|                                   |                                   |
|                                   |                                   |
+-----------------------------------+-----------------------------------+
| 4\. Honors (Awards, Fellowships,  |                                   |
| Prizes):\                         |                                   |
| \                                 |                                   |
|                                   |                                   |
+-----------------------------------+-----------------------------------+

> Note: If more space is required for any category, please attach a page
> entitled "Additional Comments."\
> NSF FORM 1123 (7-98) 1 of 4

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  Privileged Information

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+-----------------------------------------------------------------------+
| **\                                                                   |
| NOMINATION FOR\                                                       |
| THE ALAN T. WATERMAN AWARD**                                          |
+-----------------------------------------------------------------------+
| Narrative Statement Describing Nominee's Qualifications for the       |
| Waterman Award (Limit to 1 page)                                      |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+

NSF FORM 1123 2 of 4

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  Privileged Information

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+-----------------------------------------------------------------------+
| **\                                                                   |
| NOMINATION FOR\                                                       |
| THE ALAN T. WATERMAN AWARD**                                          |
+-----------------------------------------------------------------------+
| List of Pertinent Contributions and/or Publications (Limit to 20 or   |
| less)                                                                 |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+

NSF FORM 1123 3 of 4

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  Privileged Information

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+----------------------------------+---+----------------------------------+
| **\                              |   |                                  |
| NOMINATION FOR\                  |   |                                  |
| THE ALAN T. WATERMAN AWARD**     |   |                                  |
+----------------------------------+---+----------------------------------+
| Proposed Citation (Limit to 1 or |   |                                  |
| 2 concise sentences describing   |   |                                  |
| nominee's research)\             |   |                                  |
| \                                |   |                                  |
|                                  |   |                                  |
+----------------------------------+---+----------------------------------+
| References (Limit to 4 persons   |   |                                  |
| familiar with technical aspects  |   |                                  |
| and not from the nominee's home  |   |                                  |
| institution or organization)     |   |                                  |
+----------------------------------+---+----------------------------------+
| Name:                            |   | Name:                            |
|                                  |   |                                  |
| Address:                         |   | Address:                         |
|                                  |   |                                  |
| Telephone:    -   -              |   | Telephone:    -   -              |
+----------------------------------+---+----------------------------------+
| Name:                            |   | Name:                            |
|                                  |   |                                  |
| Address:                         |   | Address:                         |
|                                  |   |                                  |
| Telephone:    -   -              |   | Telephone:    -   -              |
+----------------------------------+---+----------------------------------+
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|                                  | . |                                  |
+----------------------------------+---+----------------------------------+
| Instructions for Nominations:    |   | Completed nominations, reference |
|                                  |   | letters, and any inquiries\      |
| 1.  Provide all information      |   | about the Waterman Award should  |
|     requested on the\            |   | be addressed as follows:         |
|     nomination form.             |   |                                  |
|                                  |   | Mrs. Susan E. Fannoney,          |
| 2.  Completed nomination form    |   | Executive Secretary              |
|     must be postmarked by\       |   |                                  |
|     December 31, 2001.           |   | Alan T. Waterman Award Committee |
|                                  |   |                                  |
| 3.  **References** are           |   | National Science Foundation      |
|     considered privileged        |   |                                  |
|     information **and must\      |   | 4201 Wilson Blvd, Room 1225      |
|     be requested by the          |   |                                  |
|     nominator**. They should be  |   | Arlington, VA 22230              |
|     mailed\                      |   |                                  |
|     directly to the address      |   | Phone: (703) 292-8096            |
|     shown below and postmarked   |   |                                  |
|     by\                          |   | Fax: (703) 306-0181              |
|     December 31, 2001.           |   |                                  |
|                                  |   | Email: sfannone@nsf.gov          |
+----------------------------------+---+----------------------------------+

NSF FORM 1123 4 of 4