Honors Notification Form

The purpose of this form is to advise the central administration (i.e. the Academic Affairs Office and the International Affairs and Public Relations Division) regarding an awarded Honor to an Institute's academic staff member.

Enter the name of the recipient of the honor (as his/her name appears in the Human Resources database).
First Name: Last Name:
Title (for use, in case recepient's title is not updated in Human Resources database):
  Check here if the reciepient is not listed in the database.

If the recipient is not a scientific personnel member, please enter the name of the Group Leader the recipient belongs to (as it appears in the Human Resources database):
First Name: Last Name:

Select the appropriate prefix: Appointed as the Appointed as a Appointed as an Awarded the Awarded a Awarded an Elected to Elected as the Elected as a Elected as an Recipient of the Recipient of a Recipient of an

Enter the name of the full specification of award (e.g. Nobel Prize in Chemistry, etc.,):

In which year is the honor to be conferred: 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Enter further information (if any, only in ENGLISH), if you wish the Academic Affairs Office and/or the International Affairs and Public Relations Division to be aware of the honor:

Enter (if available) the link (URL address) to the honor announcement:   

You must supply the Academic Affairs Office with a copy of the original announcement regarding the honor. Please state herein if you will send a hard copy via internal mail to Aviva Ovadia in the Academic Affairs Office. Alternatively you may upload an electronic copy of the file:

Alternative 1:
I will send the announcement via internal mail to Aviva Ovadia at the Academic Affairs Office.

Alternative 2:
To upload an electronic copy of the file,

• Click on the Browse button and locate the file
• Select the file
• Click on Open

The file name will automatically be entered into the space provided.
Filename:

If you are not the honor recipient (i.e you are updating this form on behalf of the honor recipient), please enter your name (as it appears in the Human Resources database):
First Name: Last Name: