2024 Brock Prize Laureate Nomination Form

"*" indicates required fields

Nominator Contact Information

Name*

Email*

Phone Number*

Nominee Information

Nominee's Full Name*

Nominee's Email*

Nominee's Phone Number*

Nominee's Place of Work, Fields(s), Title(s)*

Nominee's Primary Country of Residence*

What is the nominee's specific idea or innovation?*

How does this idea or innovation impact society in meaningful ways?*

How is that impact explicitly demonstrated?*

Does the nominee know you have nominated him/her for the Prize?*

Supplemental Nominee Materials

Please add any supplemental materials here.

Max. file size: 50 MB.

Additional materials can include part or all the following:
•One to two (maximum) page narrative focusing on innovation and impact
•Letters of recommendation
•Nominee’s CV or VITA
•Links to videos, websites, published works, TED Talks, and/or presentations
•Other awards or nominations
•Other materials (Feel free to include any supporting materials you feel would help make the case for your Nominee)

Questions?

For questions about the nomination process or to send additional documents supporting your nominee, please email ed.harris10@okstate.edu