Dr. Maud L. Menten Memorial Lecture Series

Nomination Form

To nominate a speaker for this lecture series, fill out the form below and click on the submit button. You must provide your e-mail to submit the form successfully. If you would like a copy of your submission, then once you submit the form, copy the webpage that appears.

Your submission will be sent to the Dr. Maud L. Menten Memorial Lecture Series Committee for consideration.

For questions about this form, contact Lynn Weir.

1. Today's Date:

2. Your Name:

3. Your E-mail:
(give one only)

4. Nominee:

(= who are you nominating?)

5. Nominee's Contact Info:

(include title, position, and webpage if available)

6. Your Reason for Nomination:

(include brief outline of nominee's research interests and accomplishments)

7. Your Relationship to Nominee:

8. Nominee's Alignment with Research Activities:


A) in Biochemistry:

B) in London Research Community:

9. Career Publications of Nominee:

A) H#:

B) Selection of Recent Publications:

10. Strategy to Attract Nominee as Menten Lecturer:

11. Other Comments: