The Institute on and Trauma at Alliant International University

LINDA SALTZMAN MEMORIAL INTIMATE PARTNER VIOLENCE RESEARCHER AWARD

NOMINATION FORM

This award is dedicated to the memory of Linda Saltzman, who dedicated her life to ending intimate partner violence through research. This award encourages continued research in this field by recognizing either new or established researchers who have made substantial contributions to the field of child in the past five years.

The Linda Saltzman Memorial Intimate Partner Violence Researcher Award is presented at the Annual International Conference on Violence Abuse and Trauma held each September in San Diego, CA.

To nominate someone (or yourself); please complete all three pages of this form.

NOMINEE: Name: Title / Position: Affiliation / Institution: Address: City: State: Zip/Postal Code: Country: Phone #: Fax #: E-Mail:

NOMINATING PERSON: Name: Title / Position: Affiliation / Institution: Address: City: State: Zip/Postal Code: Country: Phone #: Fax #: E-Mail: IVAT/AIU LINDA SALTZMAN MEMORIAL AWARD Pg. 2

1. Outline the Nominee’s accomplishments in the past five years.

2. Describe the Nominee’s research accomplishments related to the field of intimate partner violence in the past five years.

(Continued) IVAT/AIU LINDA SALTZMAN MEMORIAL AWARD Pg. 3

3. How has the Nominee’s work made a difference in the intimate partner violence field in the past five years?

4. Enclose at least ONE letter of support.

5. If possible, enclose other relevant supporting material, as appropriate (e.g. no more than two articles authored by the nominee).

NOMINATION DEADLINE: Received by February 1, 2010

SEND NOMINATIONS OR DIRECT QUESTIONS TO: Stephany Hamrell, M.S. Program and Volunteer Coordinator Institute on Violence, Abuse and Trauma at Alliant International University 10065 Old Grove Road, Suite 101 San Diego, CA 92131 Phone: (858) 527-1860 x 4550 Fax: (858) 527-1743

version 2010