Nomination Form

Nominees must be a current student member of SAE World Headquarters (or student who recently transferred to professional membership) who actively supports SAE and its programs, and have demonstrated outstanding leadership skills in one or more SAE activities during the academic year of nomination. The nominee must graduate between December and June from a university or college in a technical field related to mobility engineering. Applicable to both undergraduate and graduate students. The nominee must be employed in a mobility-related industry at the time of selection (August/September).


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Nominee

SAE Member Number:
Nominee's Last Name:
First Name:
Middle Name:
Citizenship:
Home Mailing Address:
City:
State/Province:
Zip+4:
Country
Home Telephone:
Email:
Has the nominee accepted a full-time position in industry upon graduation?
Yes No
If yes, supply the following information (if known):

Title/Position:
Employer:
Department/Division:
Mail Stop:
Nominee_Street Address:
City:
State/Province:
Zip+4:
Country:
Home Telephone:
Email:
Name of College or
University Undergraduate:

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


Major:
Degree:
Graduation Date:
Name of SAE Collegiate
Chapter affiliation:


Basis for Nomination
Please cite detailed examples of demonstrated outstanding leadership skills in one or more SAE activities. These activities must take place during the academic year being concluded during the year of nomination. (Leadership demonstrated solely in years prior to the year of nomination is not directly applicable, but may be included as additional information.) Leadership activities may include, but are not limited to, involvement within the SAE collegiate chapter, SAE design team, SAE local Section, or SAE community.

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.



SAE Involvement


SAE Section Involvement


Community Involvement


Leadership Skills and Potential of Future Leader


General Recommendation/Other information


Supporting Recommendation
Additional letters of recommendation may be submitted in support of the nomination. Please direct the appropriate individuals to the on-line Recommendation/Support Letter. Additional support material must be received by the October 1 deadline date.


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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