Formulario

DEREK GRAY MEDAL
The Derek Gray Medal is awarded to individuals who have contributed exceptionally to MILSET and the international youth science movement through innovation, long service, or leadership.

This award has been created in memory of Dr. Derek Gray from South Africa who founded the "Expo for Young Scientists" in the early 1980s.
NOMINEE INFORMATION

(Please fill the candidate details)
Complete Name*
Organisation*
E-mail*
Country*
Phone number:*
NOMINATOR ORGANISATION

(Please fill the following questions regarding the information of your organisation)
Organisation:*
Contact Name*
E-mail*
Country*
Phone number:*
LEVELS OF INVOLVEMENT

(Please fill one cell of each row with the corresponding information of your nominee, using the Derek Gray Medal Criteria for reference, outline the nominee's service in point form below. A one-page cover letter may also be submitted)

	LIMITED (5-8 points )	SOME (9-12 points)	CONSIDERABLE (13-16 points)	EXTENSIVE (17-20 points)
MILSET Regional Program Involvement

	LIMITED (5-8 points )	SOME (9-12 points)	CONSIDERABLE (13-16 points)	EXTENSIVE (17-20 points)
MILSET Regional Executive Committee Involvement

	LIMITED (5-8 points )	SOME (9-12 points)	CONSIDERABLE (13-16 points)	EXTENSIVE (17-20 points)
MILSET International Program Involvement

	LIMITED (5-8 points )	SOME (9-12 points)	CONSIDERABLE (13-16 points)	EXTENSIVE (17-20 points)
MILSET Global Executive Committee Involvement

DEREK GRAY MEDAL