2021 ANA Awards for Excellence Nomination Form

Nominations Deadline: Monday, April 26, 2021, 11:59 pm PDT

Purpose

As the ANA evolves to better recognize the broad scope of academic neurology, our awards will continue to evolve in parallel. In that spirit, the ANA offers a new series of awards to recognize individuals who have made exceptional and important contributions to the field of neurology and neuroscience.  Up to three individuals will be recognized with the ANA Award for Excellence for having excelled in any of the following four categories:

Category OneClinical and Scientific Excellence in one or more of the following areas:

  1. Novel scientific: contributions that reshape the field’s conceptual understanding of specific neurological syndromes or diseases.
  2. Therapeutics: Novel or sustained contributions to the development of new therapeutics for neurological diseases.  These might come in the form of:
    • Identification and development of a new and novel agent or class of agents for a specific neurological disease
    • Syndrome or a category of diseases that affect the nervous system
    • The development and implementation of novel clinical trial strategies or platforms that speed or otherwise improve the development of therapeutics in a disease area or across multiple disease areas
    • A sustained record of leadership of clinical trials that together have produced new and important therapies for patients with neurological conditions.
  3. Diagnostics: A major contribution that transforms or expands diagnostic tools in neurology, including but not limited to the development of new technologies, data science tools, computational approaches, or application of existing tools to a novel class of diagnostic challenges.

Not limited to ANA Members

Category 2: Education: The nominee has made a sustained and transformative impact on neurological education that has been widely adopted outside the candidate’s home institution and has reshaped neurological training nationally or internationally.

Not limited to ANA members

Category 3: Service*:  The nominee is an ANA member in good standing who has made high  impact contributions to the ANA in the form of service as an officer, board member, committee chair, task force leader, or in some other administrative role that results in substantial, meaningful, and measurable positive change in the ANA’s ability to serve its membership and the field.

*Must be an ANA member

 Category 4: Contribution in a senior administrative role:  Outstanding enumerable contributions to the field of neurology and neuroscience in the form of senior administrative roles over a sustained period in government (e.g. NIH, FDA,CDC,HHS), industry, sister scientific societies (e.g. SFN, AAN, CNS, International Societies) or Its' institutions.

Not limited to ANA members

Prize

Each awardee will receive:

  • $1,000 honorarium
  • gratis Annual Meeting registration
  • a commemorative plaque

Requirements

Complete nominations must include all of the following:

  1. Nominee Statement
    • Nominee statement describing the contribution for which an award is proposed. The list of potential contributions above is broad, but additional important contributions of similar weight will be considered. The statement should not exceed 2 double spaced pages.
  2. Nominee CV
    • The nominee’s CV should be highlighted to indicate specific activities, grants, publications, talks, or other forms of recognition that demonstrate the nature and impact of the contribution for which she/he is being nominated.
  3. Two Letters
    • Nomination letter
    • Seconding Letter, preferably from an individual outside the nominee's institution
      • Letters from the nominator and the seconder should focus on detailing the area of contribution for which the nominee is being proposed.
      • Letters should specifically indicate whether the award is proposed for career-based contributions over a prolonged period, typically (>15 -20 years) or discrete contributions over a limited period, (typically <15 years).
      •  Letters should not exceed 2 pages.

Select the nomination category below: ( Note, if you choose Category One a list of subcategories will be displayed. Choose all that apply)

Choose one or more if Category One was selected:
Submitter Information

It is my honor to nominate:

Nominee's Information
Files Uploads
Files must be less than 2 MB.
Allowed file types: txt pdf doc docx.
Provide detail in the area of contribution for which the nominee is proposed. Do not exceed two pages.
Files must be less than 2 MB.
Allowed file types: txt pdf doc docx.
detailing the area of contribution for which the nominee is being proposed. Do not exceed two pages.
Files must be less than 2 MB.
Allowed file types: txt pdf doc docx ppt.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.