2023 RIA Gold Medal Nomination Form

2023 Royal Irish Academy Gold Medals

Nomination Form

Please read the 'Guide for Nominators' before completing this form.

The Royal Irish Academy Gold Medals are sponsored by AIB.
Section 1: Details of candidate
Candidate Title*
Candidate First Name*
Candidate Surname*
Is the candidate a MRIA/Hon. MRIA/Not a Member of the Royal Irish Academy?*
Position held and institution of candidate*
Postal address for candidate*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail address of candidate*
I wish to nominate this candidate for the 2023 Royal Irish Academy Gold Medal in the*

HumanitiesPhysical and Mathematical Sciences
Declaration*

I confirm that the candidate has agreed and given their consent to be nominated for this award. They have read and understand the ‘Data Protection Privacy Notice’ and they consent to the collection and sharing of their personal data for the purposes detailed in the privacy notice.
Section 2: Details of proposer
Proposer Title*
Proposer First Name*
Proposer Surname*
Is the proposer a MRIA/Hon. MRIA/ Not a Member of the Royal Irish Academy?*
Position held and institution of proposer*
E-mail address of proposer*
Confirmation and details of this nomination will be issued to this address
Postal Address for proposer*

Street Address

Street Address Line 2

CityCounty

Postcode/Eircode
How did you hear about the awards?*
Section 3: Details of Seconder
Seconder Title*
Seconder First Name*
Seconder Surname*
Is the Seconder a MRIA/Hon. MRIA/ Not a Member of the Royal Irish Academy?*
Position held and institution of seconder*
E-mail address of seconder*
Postal Address for seconder*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 4: Nomination
Citation (No more than 4,000 characters)*

0/4000
Please attach a supporting statement of not more than one A4 page outlining the candidate's scholarly achievements and contributions relevant to the case for this award*
Please attach a brief (no more than four pages) current CV for the candidate*
Please attach a list (no more than twenty) of the candidate's most important publications to date, including evidence of current research, with an evaluation (no more than two pages) by the proposer and seconder of the five most significant publications*
Detailed advice on how best to present this information is contained in the 'Guide for Nominators'.
In the event that this nomination is shortlisted, please list the name and institution of two internationally recognised leaders in the candidate's discipline that could provide the award committee with an independent, international perspective of the significance and impact of this nomination. *
Should be Empty:

Section 1: Details of candidate

Section 2: Details of proposer

Section 3: Details of Seconder

Section 4: Nomination