Fellowship Nomination – Expression of Interest Fellowship Nomination – Expression of Interest Form Nominator Details: First name Last name Position/Title Institution Pays AfghanistanAland IslandsAlbaniaAlgeriaSamoa américainesAndorreAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustralieL'AutricheAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiqueBelizeBéninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrésilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodgeCameroonCanadaCape VerdeÎles CaïmansCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatieCubaCuracaoCyprusCzech RepublicDanemarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaÉrythréeEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaAllemagneGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIslandeIndeIndonesiaL'IranIrakIrlandeIsle of ManIsraëlItalieJamaïqueJaponJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLibériaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaisieMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauriceMayotteMexiqueMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMarocMozambiqueMyanmarNamibieNauruNepalPays-BasNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorvègeOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandle PortugalPuerto RicoQatarReunionRoumanieRussieRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovaquieSloveniaSolomon IslandsSomaliaAfrique du SudSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanEspagneSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSuèdeSuisseSyriaTaïwanTajikistanTanzanieThaïlandeTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluOugandaUkraineUnited Arab EmiratesRoyaume-UniÉtats-UnisUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambieZimbabwe Email du contact Nominee Details: First name Last name Position/Title Institution Pays AfghanistanAland IslandsAlbaniaAlgeriaSamoa américainesAndorreAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustralieL'AutricheAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiqueBelizeBéninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrésilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodgeCameroonCanadaCape VerdeÎles CaïmansCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatieCubaCuracaoCyprusCzech RepublicDanemarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaÉrythréeEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaAllemagneGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIslandeIndeIndonesiaL'IranIrakIrlandeIsle of ManIsraëlItalieJamaïqueJaponJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLibériaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaisieMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauriceMayotteMexiqueMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMarocMozambiqueMyanmarNamibieNauruNepalPays-BasNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorvègeOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandle PortugalPuerto RicoQatarReunionRoumanieRussieRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovaquieSloveniaSolomon IslandsSomaliaAfrique du SudSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanEspagneSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSuèdeSuisseSyriaTaïwanTajikistanTanzanieThaïlandeTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluOugandaUkraineUnited Arab EmiratesRoyaume-UniÉtats-UnisUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambieZimbabwe Email du contact Relationship to Nominee Colleague Supervisor Collaborator AutreAutre Nomination Statement 0 sur 250 max mots Please highlight why the nominee is suitable for this award based on the selection criteria for Fellowship i.e. substantial contributions to the EACH mission. The criteria for a Fellowship in EACH are: 1. Being a member of EACH for a minimum of six (6) years (does not have to be consecutive years) including the year in which the application is being made. 2. Substantial “Service to EACH” as demonstrated through active contribution to multiple EACH committees, events, resources and/or activities. To qualify for the fellowship, the candidate must provide evidence of substantive and active contribution by describing their participation in specific EACH projects and activities that extend beyond standard membership and attendance of relevant EACH committee meetings. For further information and examples on what constitutes substantial service to EACH please refer to the EACH website: https://each.international/fellowship/. (Maximum of 250 words) Supporting Evidence (optional) Please provide examples of activities and positions in Service to EACH that meet the fellowship criteria (Maximum of 250 words) Word count: Declaration: I hereby declare that all the information contained in this application is true and correct. Nom: Date Soumettre Si vous êtes un humain, ne remplissez pas ce champ.