TDR Global Career Impact Contest Nomination Form

TDR Global, in partnership with Social Entrepreneurship to Spur Health (SESH), is organizing an open call for stories about how TDR has made an impact on the careers of scientists. We have created this peer nomination platform to gather success stories from the TDR Global community. Do you know a TDR researcher, mentee or mentor who has made a special contribution to the field of infectious diseases of poverty? Please feel free to nominate them by filling out this nomination form. More details about this call are available here: https://www.seshglobal.org/TDRGlobalCareerImpactContest
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1.
Your Name
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2.
Your Email
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3.
Have you heard about TDR?
Yes
No
Do not want to specify
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4.
First name of your nominee 
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5.
Last Name of your nominee
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6.
Email address of your nominee
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7.
Gender Identity of your nominee
Man
Woman
Others
Do not want to specify
8.
Nationality of your nominee
9.
Tick YES if you would like your name to be mentioned to the person nominated. Our default will be anonymous nomination unless you specify.
YES
NO
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