サイエンス部門 (Science Prize)

Please confirm that you have read the Eligibility guidelines above.*

Yes I have

Title

(Dr, Mr, Ms, etc.)*

Your Name*

名姓

Your contact email address*

Your contact telephone number*

Country*

Are you nominating yourself as an individual or part of an organisation?*

As an individual
As part of an organisation

Name of Your Team / Organisation*

Address*

住所 (丁目、番地、号) 区市町村郵便番号国

Title of your project/work for which you are nominating*

Website (if applicable)

Please provide a 100 word summary of your area of work in Science to replace animal testing.*

Using between 1000 and 1500 words, state why you think you or your team or institution should receive a prize for Science. Please focus on specific projects/achievements/areas of work over the past two years and concrete outcomes that have resulted from this work*

Full references should be provided, particularly where claims are made for the validation of your test method or claims for its performance (maximum of 10 references overall). These references need to include at least one peer-reviewed paper published in the past two years. Nominations without this will not be shortlisted.*

Lush Prize is a 1R Prize, supporting absolute replacement. How does your work replace the use of animals?*

Can you tell us about any data sharing/preserving policies you may have that relate to this work?*

Have you used non-human animals (including invertebrates) or non-human animal-derived materials (tissues, sera, cells, embryos, antibodies, cornea, etc) in the last three years, even though the ultimate aim may be to replace their use?*

Yes
No

Specifically:*

Animals (including invertebrates)
Animal antibodies
Animal cells
Animal corneas
Animal embryos
Animal sera
Animal tissues

Please provide more information about use of Animals*

Please provide more information about use of Animal Antibodies*

Please provide more information about use of Animal Cells*

Please provide more information about use of Animal Corneas*

Please provide more information about use of Animal Embryos*

Please provide more information about use of Animal Sera*

Please provide more information about use of Animal Tissues*

Have you published work using non-human animals or animal parts in the past three years?*

Yes
No

Please list the project titles and publication*

If you use any animal-based products, how do you plan to replace them? If you are not able to replace them, please explain why

How did you hear about Lush Prize?*

We will use your email address to contact you regarding your nomination. We may also send you additional mailings on future Lush Prize competitions and changes to the Prize. Please tick the relevant box:*

I agree
I do not agree

Name

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