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Synergy Award Nomination Summary

Review
Please review the information below to ensure it is correct. To make changes now, select Modify your nomination.
 
Your ID Key uniquely identifies this nomination as yours. If you would like to make future updates to your nomination, enter your ID Key in the nomination form introductory page and select Load. A copy of this summary has been e-mailed to the nominator's e-mail address.

Your ID Key:
Update Link: Modify your nomination
Nomination Summary
Print this summary and use it as a cover letter for your application, which should be a maximum of six 8.5" x 11" (21.5 cm x 28 cm) sheets that respond to the points detailed in Presentation Guidelines.

Note: Ensure that all partners have signed the final printed copy that is being sent to NSERC.

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Title of Project:
Awards Category:
 
Nominated by
Name:
University/Company:
Title:
Address:
Telephone:
Fax:
E-mail:
Signature:
___________________________________
 
Primary university partner
Name:
University:
Title:
Address:
Telephone:
Fax:
E-mail:
Signature:
___________________________________
 
Primary industrial partner
Name:
Company:
Title:
Address:
Telephone:
Fax:
E-mail:
Signature:
___________________________________
 
Additional university and industrial partner(s)
Deadline for Nominations: April 15, 2011
Send your printed and signed nomination to:

Synergy Awards for Innovation
NSERC
350 Albert Street
Ottawa, Ontario
K1A 1H5
Tel.: 613-947-9452
Fax: 613-992-5337

A peer review selection committee will decide if a partnership is suitable for an award. All decisions are final. If no partnership demonstrates excellence, no award will be made. Entry material will not be returned to the entrants. Winners will be notified by letter and may need to be available during the summer to participate in a video production. Winners will be recognized at an event hosted by NSERC in the fall. NSERC reserves the right to release the entrants' names and a brief description of their partnerships. Any additional disclosures will be made in consultation with the entrants, but no claim may be made against NSERC as a result of such. The signatures of the university and industrial partners constitute their agreement to be bound by these rules.
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