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TR35 The TR35: Call for Nominations
Let us know who you think belongs on the 2010 TR35 list.
If you have questions about filling out this form or about the nomination process, please check our list of frequently asked questions. The deadline is March 31, 2010.
About the Nominee

*First name:
*Last name:
Age:
(must be under 35
as of 10/1/10)
Phone:
Address:
City:
State/Province:
Postal Code:
Country:
Email:
Website:
*Technical area
of the nominee's work:
*Affiliation(s):
(1 required)

Reference #1
Name:
Email:
Phone:
Reference #2
Name:
Email:
Phone:
Reference #3
Name:
Email:
Phone:

Describe your Nominee
Describe why you think this person deserves recognition as a top young innovator. (Include a brief description of his or her principal achievements.)

About You (Nominator)
First name:
Last name:
Email:
Phone:
Relationship to Nominee:


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