International Award Application Form

The International Award will be presented to an individual who is currently involved in world class innovation but with much still to contribute. The Award prize fund is intended to finance future projects and to reward the winner's outstanding contribution in the field of canine health and welfare. The Prize Fund offered for this award is £40,000.

Please note that where the term "Nominee" is used, this refers to the person who is being nominated for the Award – even if you have nominated yourself.

Completed applications are to be received by 28 February 2022.

Nominator's contact information

(Please leave blank if you are nominating yourself)

Contact details of Nominee

(Please leave blank if you are nominating yourself)

Education History of Nominee

(Most recent first)

Institution 1:

 

Institution 2:

 

Institution 3:

 

Institution 4:

Employment History of Nominee

(Most recent first)

(Current) Position 1:

 

Position 2:

 

Position 3:

 

Position 4:

Additional information about the Nominee

Membership of any professional bodies (please write in full and include dates)

 
 
 
 
 

References

Please provide details of at least two referees (please note that referees will only be contacted to provide a reference if the nominee is shortlisted)

Referee 1:

 

Referee 2:

 

Referee 3:

 

Referee 4:

Terms of Application

  • Please be advised that successful candidates will be required to submit an article for publication in The Veterinary Journal following receipt of the Award.
  • If you are nominating someone else, please ensure they have given their consent before you submit the form.
  • The winner will be asked to submit a report within 12 months after the funds have been given advising how the money has been used.