All requested information must be provided All materials must be submitted in English Date Nominee (Include Current Title) Nominee Email Nominee Work Phone (enter ‘None’ if none) Nominee Home Phone (enter ‘None’ if none) Nominee Cell Phone (enter ‘None’ if none) Most recent affiliation and current address List 1 to 5 publications by the nominee that exemplify the nominee’s contributions to Cosmology 2. Cover letter explaining what the nominee has done and why it is important in Cosmology (broadly interpreted). Please make it concise, but long enough to make the case. (250 – 1000 word limit)

Nominator Nominator Email Mailing Address Nominator Work Phone (enter ‘None’ if none) Nominator Home Phone (enter ‘None’ if none) Nominator Cell Phone (enter ‘None’ if none) Nominator Fax (enter ‘None’ if none) Please attach the nominee's curriculum vitae including a list of degrees with dates, nationality, and related achievements, if appropriate. If you are unable to attach the CV, you may e-mail it to: nominations@gruberprizes.org   The required letter of support must be supplied by the deadline or the nomination is invalid.