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In page National Medal of Science:

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According to the Committee, successful candidates must be U.S. citizens or permanent residents who are applying for U.S. citizenship, who have done work of significantly outstanding merit or that has had a major impact on scientific thought in their field. The Committee also values those who promote the general advancement of science and individuals who have influenced science education, although these traits are less important than groundbreaking or thought-provoking research. The nomination of a candidate is effective for three years; at the end of three years, the candidates peers are allowed to renominate the candidate. The Committee makes their recommendations to the President for the final awarding decision.