Madison Medalist Nomination Form

Madison Medalist Nomination Form

Please complete the following information. Required fields are marked with an asterisk (*).

Your Information

First Name: 

"First Name:" is required.

Last Name: 

"Last Name:" is required.

Primary Email: 

Email

"E-mail" is required.

Confirm
"E-mail" confirmed text is required. Emails do not match! "E-mail"needs to contain a valid entry.

Your password must have

each of the above components

and be at least 12 characters.

Does Not Pass

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Secure

Very Secure

Re-type your password. Re-type your email. Please verify your input by typing it again.

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Passwords match! Emails match! Inputs match!

Primary Princeton Affiliation: 

Please Choose Graduate alumnus/a Undergraduate alumnus/a Faculty/Staff
"Primary Princeton Affiliation:" is required.

Preferred Year:

Please Choose 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930

Nominee Information

Name: 

"Name:" is required.

Department: 

Please Choose Anthropology Applied and Computational Mathematics Architecture Art & Archaeology Astrophysical Sciences Atmospheric and Oceanic Sciences Biology Chemical and Biological Engineering Chemical Engineering Chemistry Civil and Environmental Engineering Classics Comparative Literature Computer Science East Asian Studies Economics Electrical Engineering English Evolutionary Biology Finance French and Italian Geosciences Germanic Languages and Literature History History of Science Linguistics Mathematics Mechanical and Aerospace Engineering Modern Languages and Literature Molecular Biology Music Near Eastern Studies Neuroscience Operations Research and Financial Engineering Philosophy Physics Plasma Physics Politics Population Studies Psychology Quantitative and Computational Biology Religion Romance Languages and Literature Russian Studies Slavic Languages and Literature Sociology Spanish and Portuguese Languages and Cultures Statistics Urban Studies Woodrow Wilson School Other
"Department:" is required.

If, "Other":

Class/Degree Year: 

Please Choose 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
"Class/Degree Year:" is required.

Brief Supporting Remarks
(short bio, nominee's professional homepage, news, etc. Any additional supporting documentation can be emailed to apga@princeton.edu): 

"Brief Supporting Remarks
(short bio, nominee's professional homepage, news, etc. Any additional supporting documentation can be emailed to apga@princeton.edu):" is required.

Questions?

Contact apga@princeton.edu

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