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You MUST print and complete the form below and return a signed hard copy to the Executive Secretary NZSAP by the due date to be eligible for the Young Member Award.
This letter should be signed by the applicant and the supervisor/head of department. The completed form must be postmarked or emailed to the Executive Secretary no later than 5pm on the final date for submission of the full paper.
Postal address:
Executive Secretary
Kate Crookston
PO BOX 955
Cambridge
Name of applicant for Young Member Award (print)
Surname: _____________________________________________
Initials: ____________________________________________
First name: __________________________________________
Institution: _________________________________________
E-Mail: ______________________________________________
Ph: ______________________ FAX: ______________________
Title of paper: _______________________________________________________________________________
Eligibility (tick box to confirm)
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[ ] Member of the society at 1st February immediately preceding conference (full or student)
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[ ] Under the age of 35 at 31 March immediately preceding conference
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[ ] Less than 2 years since completion of PhD (if held)
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[ ] Is first author of paper
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[ ] Made substantial contribution to planning, execution analysis and preparation
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[ ] First or second presentation at NZSAP conference
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I confirm that I am eligible for the award of the NZSAP Young Member Award according to the above criteria. I agree that acceptance of my abstract commits me to submit a paper manuscript for publication and that publication of the paper commits me to presentation at the next annual conference.
Applicants Signature: ____________________________________
BELOW: To be completed by your supervisor:
I confirm that _____________________________ is eligible for the award of the NZSAP Young Member's award according to the above criteria and is expected to present his/her paper at the next NZSAP annual conference.
Supervisor or HOD name: ___________________________________
Title/Position ____________________________________________
Supervisor or HOD Signature: ______________________________
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