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Biology Workshop Nomination Form

Quality Education for Minorities (QEM) Network Biology Workshop Nomination Form

Workshop at the Albuquerque Hilton Hotel in Albuquerque, NM, March 31-April 1, 2006

Due Date for Nominations: Friday, February 17, 2006.
E-mail Completed Form to smmcbay1@qem.org

The workshop is designed to assist eligible Biology faculty members at accredited minority institutions and eligible underrepresented minority Biology faculty at other accredited institutions in the preparation of proposals for submission to the National Science Foundation’s Directorate for the Biological Sciences (BIO). To be eligible for QEM support to participate in a QEM/BIO workshop, a faculty member must meet each of the following criteria: (1) hold the rank of assistant professor or above; (2) be tenured or on in a tenure-track position; (3) teach Biology courses taken by students majoring in Biology/Biological Sciences; and (4) be actively engaged in research.

Each selected participant, prior to the workshop, must:
(1) submit a project summary, of no more than one page in length, that has been prepared in accordance with the
NSF Grant Proposal Guide (http://www.nsf.gov/publications/pub_summ.jsp?ods_key=gpg) (see page 21 of the Guide); and (2) submit a two-page biographical sketch that has been prepared in accordance with the Guide (see pages 23-24 for details).  These documents should be sent electronically to smmcbay1@qem.org and must be received no later than Friday, March 3, 2006.

CLICK HERE FOR WORD VERSION OF NOMINATION FORM shown below.

Name of Nominee:      __________________________

Rank:                             __________________________

Department:                  __________________________

Institution:                      __________________________

Telephone:               _____________________  Fax: ____________________             

E-mail:                        __________________________

Nominator (if different from nominee):    __________________________

Title:                __________________________

Telephone:    __________________________

E-mail:            __________________________

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Name of Nominee _______________                        Institution ______________

BIO Division/Cluster most appropriate for Nominee’s Research Area (please check only one division/cluster). Nominee/Nominator should visit http://www.nsf.gov/home/bio/ to assist in identifying the most appropriate division/cluster.

(1) Biological Infrastructure (DBI)  http://www.nsf.gov/home/bio/dbi   
            DBI Clusters:

            ___ Research Resources Cluster

            ___ Human Resources Cluster

(2) Environmental Biology (DEB)  http://www.nsf.gov/home/bio/deb
            DEB Clusters:

             ___ Ecological Biology Cluster   ___ Ecosystem Science Cluster

             ___ Population and Evolutionary Processes Cluster

             ___ Systematic Biology and Biodiversity Inventories Cluster

(3) Integrative Organismal Biology (IOB)  http://www.nsf.gov/home/bio/iob  
            IOB Clusters:

            ___ Behavioral Systems            ___ Developmental Systems

            ___ Environmental and Structural Systems

            ___ Functional and Regulatory Systems

(4) Molecular and Cellular Biosciences (MCB)  http://www.nsf.gov/home/bio/mcb   
            MCB Clusters:

           ___ Biomolecular Systems      ___ Cellular Systems

           ___ Genes and Genome Systems