International Photodynamic Association (IPA)

2019 IPA Awards Nomination Form

May 1st, 2019

General Rules

  • Candidates can be nominated by any IPA member in good standing

  • Candidates can be nominated for multiple awards

  • Any IPA member is permitted to nominate himself/herself or his/her team

  • No confidential information should be disclosed in the nomination form

  • All information provided can be published by the IPA on websites and news releases

  • Deadline for nominations is May 1st, 2019

  • Nominees will be judged by the 2019 IPA Awards Committee

  • IPA Awards will be announced at the 2019 World Congress in Boston, USA

Nomination Form

Nominee Information
Nominee Name
Nominee Name
Nominator information
Please select
Please select Award(s) for nomination.
Aditional Reference in support of Nomination
Reference Name *
Reference Name