Genome Award

Sponsored by Quest Diagnostics

Application Instructions

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PURPOSE: To acknowledge and honor outstanding technologists in cytogenetics and molecular genetic technology. This award program contributes to the growth of genetic technology as a profession by recognizing individuals with superior professional commitment.

ELIGIBILITY:

    1. The applicant must be a member of the Association of Genetic Technologists.
    2. Must have at least four years of experience in a cytogenetics or molecular genetics laboratory.
    3. Must be NCA certified (include a copy of current certification card).

DOCUMENTATION:

A short abstract of particular genetic interest to you, or proof of an award or grant, or a short essay detailing your contribution to the field of cytogenetics/molecular genetics, or to your particular laboratory.

NO FAXES WILL BE ACCEPTED.

SELECTION CRITERIA:

1. Quality of abstract, essay, award or grant.

2. Outstanding professional performance (i.e. published work to include poster or meeting abstracts, journal articles, company awards, FGT or AGT recognition by award or grant).

3. Evidence of outstanding contribution to the profession of cytogenetics or diagnostic molecular genetics.

4. Initiative.

AWARD:

    1. The award will be granted annually as determined by the Board of Directors of the Foundation for Genetic Technology, based on available funds, to the nominee who meets the criteria of the award.
    2. The Foundation for Genetic Technology Genome Award consists of $500.00 to help pay meeting expenses, including registration, for the AGT Annual Meeting.
    3. Selection of award recipients will be made by a Panel of Reviewers
    4. Decisions made by the Panel of Reviewers will be final and deliberations or decisions will not be disclosed.

NOTIFICATION:

1. The award recipients will be notified by phone by the Chair of the Awards & Scholarships Committee with a confirmation letter to follow.

2. Nominees not selected will be notified by letter and will be congratulated for having been nominated.

3. The monetary award and certificate will be presented at the Annual Meeting of the Association of Genetic Technologists to the recipient or his/her representative.

 

Foundation For Genetic Technology

Genome Award

Application

DUE DATE: Monday, February 1, 2010

Deadline: Must be Postmarked by Monday, February 1, 2010

Mail To : Foundation for Genetic Technology
Genome Award
P.O. Box 625
Biloxi, MS 39533-0625

SECTION I- Biographical Information

NAME : ______________________________________________________________________________

Last                                                 First                                             Middle Initial

ADDRESS:_____________________________________________________________________

Street City State Country Zip Code

PHONE NUMBER:______________ SOCIAL SECURITY#_____________________________

DATE of BIRTH:___________________ AGT MEMBER#:_______________________________

NAME of LABORATORY:_________________________________________________________

 

 

SECTION II

On an attached sheet please provide a current CV including: work experience and evidence of outstanding contribution to the profession of cytogenetics or molecular genetics. Please be specific and provide complete names of pertinent employment as well as a letter from your current director, manager or supervisor.

 

SECTION III

Use an attached sheet to submit a short abstract of particular genetic interest to you or your work.

 

SECTION IV-Certification Statement

I affirm that, to the best of my knowledge, the above statements are correct. I understand that I am responsible for the submission of all required documents within the deadlines. The Foundation for Genetic Technology reserves the right not to process applications found to be late or incomplete.

________________________________________________________________________________

Signature                                                                               Date

Application