Type of Award: New Researcher Award ____ Dissertation award ____
Name of Nominee: _____________________________________________
Affiliation: _____________________________________________
Mailing address: _____________________________________________
_____________________________________________
Email address: ____________________________
Title of work submitted for the award: ______________________________
________________________________________________________
Nominator's name: _____________________________________________
Letter of recommendation from: ___________________________________
Checklist for submission:
Hard Electronic
Copy Attachment
_____
_____ Application Form
_____
_____ Copy of nominee's curriculum vitae
_____
_____ Copy of dissertation proposal or paper (for New Researcher Award)
_____
_____ Letter of recommendation
Submissions should be sent to the Chair of the SEPI Research Committee:
(please send at least a note by fax or regular mail AND email to avoid loss)
Prof. Dr. Franz Caspar
Leiter Abt. Klinische Psychologie und Psychotherapie
Universität Bern
Gesellschaftsstr. 49
3000 Bern 9
0041 / 31 / 631 54 16, Sekr.: 631 47 31
Fax 631 41 55
caspar@psy.unibe.ch