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  • Roentgen Research Award


  • Nomination Procedure

    This nomination form below is completed by the program director or department chair.
    Nominations are limited to one resident or fellow per ACGME-approved program (or equivalent) of radiology, radiation oncology or nuclear medicine per year. Nominations must be made by April 2.

    Nominee

    Enter information exactly as it is to appear on the award/wall plaque.

    Nominee Name, Degree(s)*
    Nominee Email*
    Institution*
    Department*
    Training Status*
    RSNA Membership Number
    (if known)

    Nominee Qualifications*

    Provide a description of the nominee's contributions to the department's research activities during the past year that led to the selection of the individual for this award. (Limit 4,000 characters)


    / 4000 characters left.

    Nominator

     
    Nominator Name*
    Nominator Title*
    Nominator Phone*
    Nominator Email*
    RSNA Membership Number
    (if known)

    Shipping Address

    Award and wall plaque (if needed) will be sent directly to the nominator.

    Institution*
    Department*
    Address 1*
    Address 2
    Address 3
    City*
    State*
    ZIP Code*
    Country*

    Wall Plaque

    Determine which nameplate style is on your department's existing plaque. The two styles are not interchangeable. Alternatively, indicate if your existing plaque is full, or you do not have a departmental wall plaque (first-time participant).

    Choose one*





    *Required fields
    Roentgen Award Plaque Types
                                                                 

    When the form is complete, click the button below to send the nomination data to the RSNA R&E Foundation.


    Please direct questions to REfoundation@rsna.org.

  • The nomination deadline for the Roentgen Research Award was April 1, 2017, and the nomination form is no longer available for this year.