Fellow of the NLA Award Nomination

Please fill out all form fields, everything is required for submission. Thank you for your participation in the NLA.

Category of Fellowship *

Fellow of the National Lipid Association

International Fellow of the National Lipid Association

Honorary Fellow of the National Lipid Association

Please select a pathway to fellowship. If you need more information about the three categories of fellowship, click here.

Sponsor Name *

Sponsor Phone *

Sponsor Position *

Sponsor Institution *

Sponsor Email *

Sponsor City *

Sponsor State *

Candidate Name *

Candidate City *

Candidate State *

Attach a file

Any supporting document (e.g. Curriculum Vitae, Certifications, Recent Publications or Work)