Robert Zalosh Award for Hydrogen Safety Excellence Nomination Form

Please enter YOUR full name

Please enter YOUR institution/affiliation name

Please add YOUR telephone number. (Numbers only. No Letters)

Please enter YOUR email

(This can be an individual, project, or organization.)

Please select the category for this nomination. See Categories here

(A brief summary of the candidate’s specific, documented contributions. 40 words max)

(If a project states the location of the project)

(Other supporting information that demonstrates the nominee’s accomplishments and commitment to hydrogen safety can be attached at the end of the submittal.)

Please see the AIChE CODE OF ETHICS here

You can add up to six attachments in total. PDF ONLY!

By clicking this checkbox, you confirm the following: To the best of my knowledge, I attest that the information provided is true and factual and that the awardee has demonstrated a significant commitment to hydrogen safety. I am not the nominee, part of the nominee’s project/organization, or a family member.