Application form for granting the Faculty of Arts of Masaryk University Dean’s Award for the Popularization of the Humanities and Social Sciences Applicant First name, surname (including academic degrees) Contact details (e-mail) Proposed person(s) Name, surname (including academic degrees) Contact details (e-mail) A brief description of their professional focus, emphasizing the research area they have helped popularize Justification for submitting a proposal for an award Verbal justification of the application References to media appearances or other forms of publicity that demonstrate the justification for applying for the award Statement of the evaluation board Recommended for being awarded. Not recommended for being awarded. Reasons for rejecting the application: Date Name of the chair of the board Signature Ing. Mgr. Zdeňka Jastrzembská, Ph.D. Vice-Dean for Admissions and Public Relations