Nomination Form


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SAE Technical Paper
Number:

Paper was presented at
which SAE meeting?:

Name of Lead Student
Author:

SAE Member Number:

Name of co-authors
(check the box if co-author was a student)
Mailing Preference of Lead
Student Author:

Home Business
Title/Position:
College/University:
Department/Division:
Mail Stop:
Street Address:
City:
State/Province:
Zip+4:
Country
Phone:
Fax:
Email:

EDUCATIONAL HISTORY

Name of College or
University Undergraduate:

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


Major:
Degree:
Graduation Date:
Name of College or
University PhD:

Major:
Degree:
Graduation Date:

University name, department and address where paper was written

University Name:
Department:
Address:


Was the paper written for a thesis?:
Yes No
Was corporate/government funding received to perform the research for the paper?
Yes No
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