Nomination Form


(Self-nominations will not be accepted)

denotes required fields.


Nominee

SAE Member Number:
Nominee's Last Name:
First Name:
Middle Name:
Is the following address:
Home Business
Title/Position:
Employer:
Department/Division:
Mail Stop:
Street Address:
City:
State/Province:
Zip+4:
Country
Phone:
Fax:
Email:
Age:
Name of College or
University Undergraduate:

Major:
Degree:
Graduation Date:
Name of College or
University Graduate
(if applicable):


Major:
Degree:
Graduation Date:

NOTE: The boxes below are expandable and will accommodate an indefinite amount of text. It is suggested that you type your text elsewhere and copy and paste the information electronically into the boxes.


Basis for Nomination
Below include detailed discussion setting forth the basis for nomination. Comments should specifically highlight information on how the nominee's work has furthered innovation in the manufacture, design, and improvement of engine technology for ground, air or space vehicles. Emphasis should be placed on major contribution through a new idea, concept, innovation or application which provides a recognized improvement in engine technology and which has been verified through proof of concept demonstrations.

SAE Contribution (if applicable)
Below include a brief description of any contributions the nominee has made to SAE activities or programs.

Supporting Material
If feasible, include additional information that will support the nomination.

Nominator

SAE Member Number:
Nominator's Last Name:
First Name:
Middle Name:
Is the following address:
Home Business
Title/Position:
Employer:
Department/Division:
Mail Stop:
Street Address:
City:
State/Province:
Zip+4:
Country:
Phone:
Fax:
Email:
Date of Nomination:
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