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Awards Category Descriptions 2017

 

Region 6 Awards Program

Categories, Descriptions, Criteria and Nomination Suggestions

(See main Awards page for nominations process)

You will want to gather all of the needed information to fill out the online nomination ahead of time so a complete list of all of the questions is provided so you can gather the information that you will need.  All questions require an answer in order for the nomination to be valid. Phone numbers and addresses are necessary, as we have had some problems in contacting award recipients for needed information or getting their award to them.

Award Category for Companies and Corporations

(the MGA name of this is Friend of IEEE Member and Geographic Activities, Organizational Award)

Our name for this award is Outstanding Corporate Service.

Here is the list of MGA Criteria for this award:

  • Time off to travel to IEEE meetings
  • Full or partial reimbursement of travel and/or per diem
  • Offering company space to conduct IEEE meetings
  • Encouraging and/or promoting membership in professional organizations
  • Underwriting all or a portion of IEEE dues for its members
  • Supporting the volunteer by permitting free or discounted use of company resources for such things as telephone, fax, email, or printing newsletters and/or other circulars.

Region 6 adds to this list:

  • Donating grants or money directly to Chapters, Councils, Affinity Groups, or STEM to assist with conducting conferences, workshops, meetings, or educational events and competitions.

We recognize that it is becoming rare to find corporations that meet all of these criteria. We will accept nominations for companies and corporations that do some of these. The more points that are documented, the more likely your nomination will win.

Online Form:

Nominee Information:
Company Name, contact person’s name, contact person’s role and department, Company Address, contact person’s email address, contact person’s work phone, alternate contact person’s name, alternate contact email address, alternate contact phone number

Achievements and Accomplishments:  (fill in the box with details)

Do they provide time off to travel to IEEE meetings?  (Y/N)

Do they provide full or partial reimbursement of travel and/or per diem?  (Y/N)

Do they offer company space to conduct IEEE meetings?  (Y/N)

Do they encourage and/or promote membership in professional organizations?  (Y/N)

Do they underwrite all or a portion of IEEE dues for its members?  (Y/N)

Do they support the volunteer by permitting free or discounted use of company resources for such things as telephone, fax, email, or printing newsletters and/or other circulars?  (Y/N)

Do they donate grants or money directly to Chapters, Councils, Affinity Groups, or STEM to assist with conducting conferences, workshops, meetings, or educational events and competitions?  (Y/N)

Provide details to support the above answers such as examples of donations or conferences:  (fill in a box with details) if you need additional room or want to add anything else:  (fill in the box with details)

Suggested Citation:  (fill in the box)

 

Award Categories for Organizational Units

There are six possible awards for OUs. They are:

Outstanding Small Section (less than 501 active members)
Outstanding Medium Section (501-1500 active members)
Outstanding Large Section (more than 1500 active members)
Outstanding Small Student Branch (up to 25 active members)
Outstanding Large Student Branch (more than 25 active members)
Outstanding Chapter (includes Technical Councils and Affinity Groups)
The Women in Engineering and the Life Members Activity Group have their own separate awards categories.

Outstanding Section awards

Region 6 has different Section awards (Large, Medium and Small) because a Section with fewer volunteers cannot compete with the number of activities of a larger Section. We encourage all Section to separately submit a nomination for their section to the MGA awards website by the deadline: May 15.

The Region 6 Outstanding Section description and criteria are:

To recognize the outstanding work of an IEEE Section based on its success in carrying out the objectives of the IEEE through the implementation of the Section’s programs. In this evaluation, recognition will be given to the successful maintenance of ongoing efforts designed to sustain the basic core activity of the Section and its components as well as recognizing innovative and creative efforts to develop and implement new programs or new entities such as Chapters, Councils, and Affinity Groups.

The IEEE MGA specified criteria are:

for their successful efforts in fulfilling the educational and scientific goals of IEEE for the benefit of the public by maintaining, enhancing, and supporting the Student Branches, Technical Chapters, and Affinity Groups within their geographic boundaries.

Online form:

(the forms are the same for the separate categories)

Section Officers and their information:
Name of the current Section Chair, Section Chair’s daytime phone number, Section Chair’s evening phone number, Section Chair’s email address,
Name of the current Section Vice Chair, Section Vice Chair’s email address,
Name of the current Section Secretary, Section Secretary’s email address,
Name of the current Section Treasurer, Section Treasurer’s email address,
Section Website URL

Is the Section Website up to date?  (Y/N)
What information can be found on the Section Website? (check all that apply)

Current executive committee officer names, Officer contact information, Officer headshot photos, Calendar of upcoming meetings and events, Photos from recent events or activities, Information about Chapters, Affinity Groups, and Student Branches in the Section, Links to other IEEE web pages, Section local operating procedures, Section meeting minutes, Social media feeds, Blog, Archives, other ____

Are all units (Chapters, Affinity Groups, Student Branches, etc.) within the Section active and have the minimum membership requirement?  If not, which units are inactive and what steps has the Section made in an effort to revitalize its under-performing units?  (fill in box with details)

What units were newly formed during the previous year, and what is being done to create new groups?  (fill in box with details)

MEMBER ENGAGEMENT
Please provide examples of the following types of programs/activities/efforts in which the Section and its units participated. Please do not just list meetings and activities. Be sure to include the benefit/impact to IEEE members and/or the public and be very clear on important accomplishments and why they were meaningful. Discuss what is being done to attract, retain, satisfy, and engage members. Within these areas, please also comment on if/how the programs/efforts:benefited IEEE Student members (e.g., Student Branch Programs)   facilitated interface between Higher Grade IEEE members and IEEE Student Branch members   facilitated member grade elevations (e.g., Senior Member, Fellow, STEP transition)   facilitated improved industrial relations   facilitated improved government relations were co-sponsored with other professional/technical organizations:

Community Service Projects that projected positive visibility to IEEE  (fill in box with details)

Technical Programs  (fill in box with details)

Professional Programs (PACE programs, non-technical programs contributing to members’ careers)  (fill in box with details)

Educational Programs  (fill in box with details)

Other Programs  (fill in box with details)

AWARDS:
Does the Section have a Section Awards Chair?  (Y/N)
Does the Section have a Section Awards Program?  (Y/N)
If Yes, please provide examples of awards presented by the Section and its units to recognize IEEE members, non-members, firms, etc. Include how the recipient was impacted and the goal that was achieved.  (fill in the box with details)

Provide examples of awards presented to the Section and its units to recognize individual IEEE members. Include how the recipient was impacted and the goal that was achieved.  (fill in box with details)

MEMBER RECRUITMENT & COMMUNICATION
Compare statistics for Higher Grade membership and Student membership in the Section and its units from this year to the previous year. Please do not just list membership numbers. Please comment on what the number differences mean, and any impacts, triggers, or causes.  (fill in box with details)

Describe the methods used to communicate with Section members and the number of times that each method was used last year. (e.g., Section website, electronic newsletter, E-Notice, hardcopy newsletter, postcard).  (fill in box with details)

Detail efforts conducted by the Section and its units to recruit new IEEE members and new volunteers.  (fill in box with details)

Detail efforts conducted by the Section to recruit and retain Student Members.

Include details on STEP programs and efforts to transition Student Members to Young Professional Members.  (fill in box with details)

List any Section governing documents and the last year they were updated (e.g., bylaws, operations manual, guides). Provide web link(s) to governing documents, if applicable.  (fill in box with details)

 

Outstanding Student Branch Awards

Region 6 has two different Student Branch awards (large and small) because a small Student Branch has fewer members and cannot compete with the number of activities of a large Branch.

The student officers are usually chosen in early September when classes begin. Many officers leave the following June when they graduate. Therefore the activity period upon which they will be primarily judged is their school year from Sept. up to the nomination submission due date. If there are continuing projects from the previous Spring, the nomination form may include those projects.

These two awards recognize Student Branches which represent the IEEE and encourage participation in extracurricular activities that further the development of the students as future engineers. Some of these activities are meetings in which faculty or outside lecturers are secured to share knowledge and experience about preparing for jobs after graduation. Other lectures might be on topics that are highly interesting to students such as electric vehicles, worldwide communications for internet, sensor technology, or biomedical applications. Occasional fun parties such as pizza, bowling, and hiking can help students bond with each other and relax from the pressure of their studies. Some Student Branches have dedicated rooms for their activities and they may stock food or beverages for their members. The outstanding Student Branches take on research or development projects as a group. Often the Student Branch is the only means for engineering students to learn how to actually solder and construct working circuits. For example, some projects might be related to microprocessors and some might be building radios.

The nominations from the Student Branches are judged by

  • the number of meetings and activities
  • the number of students actively participating
  • the success in carrying out the objectives of the IEEE
  • innovations and creativity of their project

 Online  form:

(the forms are the same for the two separate categories)

The name of your University  (fill in box)

Name of the current Student Branch Chair  (fill in box)
Branch Chair’s daytime phone number  (fill in box)
Branch Chair’s evening phone number  (fill in box)
Branch Chair’s email address  (fill in box)

Name of the current faculty advisor  (fill in box)
the faculty advisor’s email address  (fill in box)

Name of the previous Branch Chair  (fill in a box)
Previous Branch Chair’s email address  (fill in a box)

the complete mailing address for your Student Branch at the university so we can mail an award if they win  (fill in a box with details)

Student Branch Website URL  (fill in a box)
Is the Student Branch Website up to date?  (Y/N)
What information can be found on the Student Branch Website? (check all that apply)

  • Current officer’s names, Officer contact information, Officer photos,
  • Calendar of upcoming meetings and events, Photos from recent events or activities,
  • Information about their activities,
  • Links to other IEEE web pages,
  • Student Branch room location and hours,
  • Summary of past Student Branch meetings,
  • Social media feeds,  projects,
  • Archives of past lectures, other things offered: books, drinks, food, etc

How many total meetings and events has your Student Branch had since June of last year?  (fill in a box)

How many IEEE student members are there in your Student Branch?  (fill in a box)

How many non-IEEE students actively participate in your Student Branch?  (fill in a box)

Describe the projects that have been actively run by your Student Branch since last June  (fill in a box with details)

Describe your Technical Programs  (fill in a box with details)

Describe your non-technical programs contributing to members’ future careers  (fill in a box with details)

any additional educational programs and lectures  (fill in a box with details)

Fun and social activities  (fill in a box with details)

Does your Student Branch regularly attend the two Area meetings per year?  (Y/N)

Does your Student Branch participate in competitions in the Area meetings?  (Y/N)

Suggested Citation  (fill in a box with details)

 

Outstanding Chapter

To honor an outstanding Chapter, Council, or Affinity Group each year. Extraordinary performance greatly benefits the members of your Section. It attracts non-members to attend its meetings and events and encourages them to join the IEEE and that Society. It benefits industry and society in general by providing leading edge educational programs. This year we have created separate award categories for Women in Engineering and Life Member Affinity Groups so they no longer compete in this award.

There are many good Chapters but only a few outstanding ones. We want to motivate Chapters, Councils, and Affinity Groups to strive to be outstanding. Therefore the bar for this award is high. The following list is the requirements to apply for this award:

  1. A minimum of 8 meetings per year.
  2. A webpage that is updated at least monthly so all information is correct and up to date.
  3. A growing membership. It does not matter if there are 15 members or 1000. What matters is that it is growing, and not shrinking.
  4. A positive balance in their bank account. It does not matter if it is $250 or $50,000 as long as they have enough to sustain all of their expenses and meetings on their own without asking the Section for financial aid.
  5. A high quality annual report to our Section Excom.
  6. There should be an active effort to invite and engage university students in the technical area of the Chapter and this shall be documented.
  7. Organizing an annual conference or educational day is a plus.
  8. Filing of their meeting reports and financials with the Section and IEEE by or before the deadline, completely, and accurately.
  9. If a Chapter wins this award at the Section level, they must wait two years before applying again.

Nomination and Operational Suggestions

The best Chapters have an active liaison program with industry. They attract both audience participation from those companies and they attract knowledgeable speakers for lectures and panels. Some chapters get companies to sponsor their food in exchange for a table at the meetings where the company can show their products. Some Chapters, Councils, or Affinity Groups even obtain financial grants to their organizations. This can help fund conferences and workshops.

Online form:

the full name of your Chapter /Technical Council / Affinity Group  (fill in box)

Is this a joint chapter of two or more Societies?  List them  (fill in box with details)

in which City, State are your meetings?  (fill in box)

Name of the current Chapter Chair  (fill in box)
Chapter Chair’s daytime phone number  (fill in box)
Chapter Chair’s evening phone number  (fill in box)
Chapter Chair’s email address  (fill in box)

Name of the current Chapter Vice Chair  (fill in box)
Chapter Vice Chair’s email address  (fill in a box)

Name of the current Chapter Secretary  (fill in box)
Chapter Secretary’s email address  (fill in box)

Name of the current Chapter Treasurer  (fill in box)
Chapter Treasurer’s email address  (fill in box)

the Chapter’s Website URL  (fill in box)
Is the Chapter Website up to date monthly?  (Y/N)

What information can be found on the Chapter Website? (check all that apply)

  • Current executive committee officer names, Officer contact information, Officer headshot photos,
  • Calendar of upcoming meetings and events, Photos from recent events or activities,
  • Do you sponsor Student Branches?,
  • Links to other IEEE web pages including your Society and your Section,
  • Corporate sponsors,
  • Chapter meeting minutes, Archives of previous meetings,
  • other (fill in box)

Has your membership grown since last May? Describe the trends such as number, IEEE vs non-IEEE.  (fill in box with details)

How many open technical meetings have you held in the past 12 months ending April 30 of this year?  (fill in box)

Please attach a PDF showing your meeting attendance for the past 12 months with bars separately indicating IEEE members and non-members. (upload a PDF)

How many symposia and conferences have you held in the past 12 months ending April 30 of this year?  (fill in box)

Attach a PDF containing a list and description of all of the technical meetings, symposia, and conferences that your Chapter ran in the past 12 months up to April 30 of this year.  (upload a PDF)

Attach a PDF of your financial report comparing last May to this April 30  (upload a PDF)

Attach a PDF of your annual report to your Section Excom  (upload a PDF)

Explain how you are inviting University students to participate in your meetings, symposia, and conferences. Do you provide any free or subsidized registration?  (fill in box with details)

Were your meeting reports and financial statements  filed on time with both your Section and the IEEE?  (Y/N)

Does your Chapter have a liason, sponsorship, or financial support from industry?  (Y/N)

If Yes, please provide brief details  (fill in box with details)

Suggested Citation  (fill in box with details)

 

Mixed IEEE OUs and Individuals

Outstanding Contribution to Promoting Women in Engineering – this may be to an individual (up to 3 people), or to a WIE Affinity Group.

If a WIE Chapter meets all of the Requirements listed for Outstanding Chapter, then it may be given an award for Outstanding Contribution to Promoting Women in Engineering. If one, two or three different individuals did exemplary work to promote women in engineering, then those individuals may be given awards. Up to three awards to individuals per year may be given if there are worthy nominations. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form: For WIE Group see Outstanding Chapter form

Online Form: For Individual

Their Name  (fill in box)
IEEE Member Number  (fill in box)
IEEE Member Level  (fill in box)
daytime phone number  (fill in box)
evening phone number  (fill in box)
email address  (fill in box)
Their complete mailing address  (fill in box)

State why this Nominee deserves recognition. Thoroughly and clearly state the individual’s contributions and accomplishments.  (fill in box with details)

If this individual contributed to the success of a conference, please upload a PDF about the conference showing exactly how they contributed.  (upload PDF)

Is there something specific that makes you want to nominate this person over other people?  (fill in box with details)

What IEEE positions and other responsibilities has the nominee had in the last five+ years that relate to this nomination?  (fill in box with details)

Endorser 1:
Please enter the Endorser’s Name and IEEE member number.
Name  (fill in box)
IEEE Member Number:  (fill in box)

Endorser 2:  same as above

Suggested Citation  (fill in box with details)

 

Outstanding Contribution to Promoting Life Member Activities – this may be to an individual or to a LM Affinity Group (LMAG) .

If an LMAG meets all of the Requirements listed for Outstanding Chapter, then it may be given an award for Outstanding Life Member Activity Group. If an individual did exemplary work to promote life member activities, then that person may be given an award. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form: For LMAG see Outstanding Chapter form

Online Form: For Individual see WIE Individual form

 

Award Categories for Individuals

There are eight possible awards. They are:

Outstanding Engineer (must be an IEEE member)
Outstanding Service and Leadership to the IEEE
Outstanding IEEE Educator (must be an IEEE member)
Outstanding IEEE member who made contributions to STEM and Education as a Mentor, Assistant, or Facilitator
Outstanding Educator of K through 12 (does not need to be an IEEE member)
Outstanding IEEE member Contributing to Global Humanitarian Projects or Activities
Outstanding IEEE member promoting Membership Development or Senior Elevation
Outstanding IEEE Young Professional

Outstanding Engineer

To recognize IEEE members of Region 6 who through their technical abilities have made outstanding contributions to their profession. It recognizes the development of new technical concepts, significant patents, development of new devices, the development of new applications, new designs, or significant cost reductions using known techniques.

We want to honor those members who have advanced our knowledge and improved Humanity through any of the technical subjects covered by the Societies, Councils, and Affinity Groups of the IEEE. You will need to include a complete CV, and a list of all published papers, and patents by the Nominee. If the Nominee was recognized by another group of his peers including his company, a university, or a government organization, please include those. You must substantiate the importance of the contribution of the Nominee. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form:

Their Name  (fill in box)
IEEE Member Number  (fill in box)
IEEE Member Level  (fill in box)
daytime phone number  (fill in box)
evening phone number  (fill in box)
email address  (fill in box)
Their complete mailing address  (fill in box with details)

State why this Nominee deserves recognition. Thoroughly and clearly state the individual’s technical contributions to engineering. List their new technical concepts, significant patents, development of new devices, new applications, new designs, or significant cost reductions using known techniques.  (fill in box with details)

Add the Nominee’s complete CV, list of published papers, and list of patents as a PDF   (upload a PDF)

If the Nominee has been recognized or honored by any company, university, government, or society then please list all here.  (fill in box with details)

Is there something specific that makes you want to nominate this person over other people?  (fill in box with details)

What IEEE positions and other responsibilities has the nominee had in the last five+ years that relate to this nomination?  (fill in box with details)

Endorser 1:
Please enter the Endorser’s Name and IEEE member number.
Name  (fill in box)
IEEE Member Number:  (fill in box)

Endorser 2:  same as above

Suggested Citation  (fill in box with details)

 

Outstanding Service and Leadership to the IEEE

To recognize IEEE members of Region 6 who through their professional and technical abilities have made outstanding and noteworthy contributions to their Section, Region 6, and the IEEE. This award is not designed to recognize a single achievement, but rather collective contributions complemented by singular works exemplifying the objectives and attributes of IEEE.

We want to honor those members who have contributed a large amount of time to IEEE volunteer positions they have held and they have made a lasting impact on the IEEE. You must substantiate the importance of the contribution of the Nominee. Please note that this is an award for Leadership in the IEEE. No matter how commendable, please do not include examples of community service. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form:

Their Name  (fill in box)
IEEE Member Number  (fill in box)
IEEE Member Level  (fill in box)
daytime phone number  (fill in box)
evening phone number  (fill in box)
email address  (fill in box)
Their complete mailing address  (fill in box with details)

State why this Nominee deserves recognition. Thoroughly and clearly state the individual’s contributions to their Section, to Region 6, and to the IEEE. List their achievements and accomplishments.  (fill in box with details)

Is there something specific that makes you want to nominate this person over other people?  (fill in box with details)

What IEEE positions and other responsibilities has the nominee had in the last five+ years that relate to this nomination?  (fill in box with details)

Endorser 1:
Please enter the Endorser’s Name and IEEE member number.
Name  (fill in box)
IEEE Member Number:  (fill in box)

Endorser 2:  same as above

Suggested Citation  (fill in box with details)

 

Outstanding Educator (must be an IEEE member)

To honor an IEEE member who regularly lectures or teaches any subject of engineering. Their lectures inspire an appreciation and understanding of their particular technology and they have successfully encouraged students to pursue technical careers or perhaps to attend graduate school of engineering. This may be a faculty member or it may be a Distinguished Lecturer or a private individual. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form:

Their Name  (fill in box)
IEEE Member Number  (fill in box)
IEEE Member Level  (fill in box)
daytime phone number  (fill in box)
evening phone number  (fill in box)
email address  (fill in box)
Their complete mailing address  (fill in box)

List the schools or activities where this individual lectured  (fill in box with details)

State why this Nominee deserves recognition. Thoroughly and clearly state the individual’s contributions and accomplishments.  (fill in box with details)

Is there something specific that makes you want to nominate this person over other people?  (fill in box with details)

What IEEE positions and other responsibilities has the nominee had in the last five+ years that relate to this nomination?  (fill in box with details)

Endorser 1:
Please enter the Endorser’s Name and IEEE member number.
Name  (fill in box)
IEEE Member Number:  (fill in box)

Endorser 2:  same as above

Suggested Citation  (fill in a box with details)

 

Outstanding IEEE member who made contributions to STEM and Education as a Mentor, Assistant, or Facilitator

This award honors an IEEE member who actively works with one or more pre-university classes or schools. They mentor students directly and also assist regular teachers to promote math, science, technology, and an appreciation of engineering. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form:

Their Name  (fill in box)
IEEE Member Number  (fill in box)
IEEE Member Level  (fill in box)
daytime phone number  (fill in box)
evening phone number  (fill in box)
email address  (fill in box)
Their complete mailing address  (fill in box)

List the schools or activities that this individual directly helped  (fill in box with details)

State why this Nominee deserves recognition. Thoroughly and clearly state the individual’s contributions and accomplishments.  (fill in box with details)

If this individual contributed to the success of a conference, project, or major activity, please upload a PDF about the activity showing exactly how they contributed.  (upload PDF)

Is there something specific that makes you want to nominate this person over other people?  (fill in box with details)

What IEEE positions and other responsibilities has the nominee had in the last five+ years that relate to this nomination?  (fill in box with details)

Endorser 1:
Please enter the Endorser’s Name and IEEE member number.
Name  (fill in box)
IEEE Member Number:  (fill in box)

Endorser 2:  same as above

Suggested Citation  (fill in box with details)

 

Outstanding Educator of K through 12
(does not need to be an IEEE member)

This award honors pre-university teachers at any level between K and grade 12. This teacher especially promotes STEM, Future City, TISP, SMART, MATH COUNTS, First programs, and Science Olympiad. They inspire their young students to enter engineering, science, or math. They assist their students to build projects and enter science fairs. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form:

Their Name  (fill in box)
daytime phone number  (fill in box)
evening phone number  (fill in box)
email address  (fill in box)
Their complete mailing address  (fill in box with details)

List the schools or activities that this individual directly helped  (fill in box with details)

State why this Nominee deserves recognition.  (fill in box with details)

Is there something specific that makes you want to nominate this person over other people?  (fill in box with details)

Endorser 1:
Please enter the Endorser’s Name and IEEE member number.
Name  (fill in box)
IEEE Member Number:  (fill in box)

Endorser 2:  same as above

Suggested Citation  (fill in box with details)

 

Outstanding IEEE member Contributing to Global Humanitarian Projects or Activities

This award to an IEEE member honors their active work in the field of Global Humanitarian Activities. It may be for an individual who does an outstanding job of organizing conferences or project in this area. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online Form: See WIE Individual form for fields

 

Outstanding IEEE member promoting Membership Development or Senior Elevation

This award honors the hard work of an IEE member who dedicates their time to membership development or Senior Member elevation. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online Form: See WIE Individual form for fields

 

Outstanding IEEE Young Professional

This award honors an IEEE member who is a recent graduate and promotes activities for other Young Professionals. This may include resume and job counseling, lectures of interest to young professionals, and occasional social activities that provide networking opportunities and downtime from work. If the voting awards committee decides that all of the nominations are not up to the standard of this award, then no award of this category will be given this year.

Online form:

Their Name  (fill in box)
IEEE Member Number  (fill in box)
IEEE Member Level  (fill in box)
daytime phone number  (fill in box)
evening phone number  (fill in box)
email address  (fill in box)
Their complete mailing address  (fill in box with details)

State why this Nominee deserves recognition.  (fill in box with details)

If this individual contributed to the success of a conference, please upload a PDF about the conference showing exactly how they contributed.  (upload a PDF)

Is there something specific that makes you want to nominate this person over other people?  (fill in box with details)

What IEEE positions and other responsibilities has the nominee had in the last five+ years that relate to this nomination?  (fill in box with details)

Endorser 1:
Please enter the Endorser’s Name and IEEE member number.
Name  (fill in box)
IEEE Member Number:  (fill in box)

Endorser 2:  same as above

Suggested Citation  (fill in box with details)

 

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