Your nomination package for the 2020 Early-Career Investigators Workshop will not be accepted or-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Nominee Name, Research Institution, and Title of Research Project in the designated fields. Ensure all information is accurate and legible.
3. In the NOMINEE SECTION, certify that your statements are true by checking the box and signing where indicated. Print your name and date below your signature.
4. Proceed to the UROLOGY DEPARTMENT CHAIR SECTION. The department chair must also certify the information provided. They should sign, print their name, and date this section.
5. Complete the Nominee Information Form by filling in personal details such as Full Name, Degree(s), Institution, and contact information. Be sure to select which grant development group you wish to be considered for.
6. If applicable, indicate any previous attendance at the workshop by checking the relevant dates.
7. Lastly, provide optional demographic information to assist with diversity assessments if comfortable doing so.

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