Rodica Baranescu Award for Technical & Leadership Excellence

Nomination Form

* Denotes Required Fields

Nominee Information
SAE Member Number
*Last Name
* First Name
Middle Name
* Title/Position
* Employer
* Is the following address: Home Business
Department/Division
Mail Stop
* Street Address
* City
* State/Province
* Zip+4/Postal Code
* Country
* Phone
Fax
* 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 College or University - PhD (if applicable)
Major
Degree
Graduation Date
Nominator Information
SAE Member Number
*Last Name
* First Name
Middle Name
* Title/Position
* Employer
* Is the following address: Home Business
Department/Division
Mail Stop
* Street Address
* City
* State/Province
* Zip+4/Postal Code
* Country
* Phone
Fax
* Email
Date of Nomination

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 a detailed description setting forth the basis for the nomination. Comments should specifically document the nominee's technical competency in mobility engineering, including any patents, major publications and/or new products or processes.
* Professional Leadership
Below describe the nominee's professional career in a leadership role.
* Background Information
Below include a brief description of the nominee's professional background including education, work experience, society memberships and activities, and honors and/or awards.
* Their Story
Below include a brief description of what inspired them to become an engineer.
Letters of Recommendation
Provide a minimum of two letters of recommendation written by individuals other than the nominator that support the nomination and briefly describe knowledge of the stated contribution. (Please include name, telephone number and email address, and forward to Nicol Lachimia at awards@sae.org.)

Submit
Nomination Deadline: October 15

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