IEEE Member Number IEEE Member Level daytime number evening phone number address Their complete mailing address State why this Nominee deserves recognition. Thoroughly and clearly state the individual’s contributions and accomplishments. Type as much as you need in this box. If this individual contributed to the success of a conference, please upload a PDF the conference showing exactly how they contributed. Is something specific that makes you want to nominate this person over other people? What IEEE positions and responsibilities has the nominee had in the last five+ years that relate to this nomination? Endorser 1 Please enter the Endorser's Name and IEEE member number. After you complete the nomination form, you will then need to request two endorsements. Ask that they send the endorsement letter to l.arellano@ieee.org Name IEEE Member Number:
IEEE Member Number IEEE Member Level daytime number evening phone number address Their complete mailing address State why this Nominee deserves recognition. Thoroughly and clearly state the individual’s contributions and accomplishments. Type as much as you need in this box. If this individual contributed to the success of a conference, please upload a PDF the conference showing exactly how they contributed. Is something specific that makes you want to nominate this person over other people? What IEEE positions and responsibilities has the nominee had in the last five+ years that relate to this nomination? Endorser 1 Please enter the Endorser's Name and IEEE member number. After you complete the nomination form, you will then need to request two endorsements. Ask that they send the endorsement letter to l.arellano@ieee.org Name IEEE Member Number:
2018-region-6-awards-nomination-forms-FINAL.docx