About Nominations

Fukuoka Prize Online Nomination Form

Note: Nomination for candidates by email is also accepted.

Entry
Confirm
Completion

Please enter your nomination

No self-nomination is permitted.

Categoryrequired	Please select your Selection Academic Prize Arts and Culture Prize
Is the nominee an individual or a group and organization?required	Individual Group/ Organization
Name of the candidate or a group and organizationrequired
Nationality of the nominee
Date of birth of nominee（※ date of establishment for group or organization）	Please select a year. Please select a month. Please select a day.
Affiliation and occupation （※ individual nominee only）
Field of specialization
Reasons for nomination（Max. 200 words）required
Brief biography, list of awards and etc.
Website URL regarding your nominee

Nominator Details

Please provide the following information about yourself as a nominator. As for your information, the secretariat shall keep its confidentiality.

Namerequired
Affiliation and occupation required

contact information

Country of Residencerequired
email addressrequired
email address ( for confirmation )required

※Please note that we will contact you preferentially via email.

※Please be advised that we may contact via email address given above if we have any enquiries regarding with your nomination detail.

Subscribe to our e-newsletter	Please tick the box below if you wish to subscribe to our e-newsletter in which we share information related to Fukuoka Prize and our prize laureates on an irregular basis. Subscribe to our e-newsletter Subscribe Fukuoka Prize e-newsletter
Would you be able to participate as a nominator in the future?	Please tick the box if you could kindly participate as a nominator of the Fukuoka Prize in the future. Please be advised that we may send you an email for nomination request. I can continue to participate as a nominator in the future. I can continue to participate as a nominator in the future.

Attention

Please fill in all the required fields. Please fill in as much as fields possible even if they are not required.

※Please complete the form in English.
※No self-nomination is permitted.

We would accept the list of information relating to your nominee's articles, C.V., academic thesis, and publications. Please send the list via email attachment or post them to our postal address.

Please read through the “Supervision of Personal Information”, Check the “Agree” box below and press the “confirm” button.

Please agree to the Supervision of personal information Agree