Subir Chowdhury Medal of Quality Leadership

Nomination Form


denotes required fields.


Nominee

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:

Undergraduate

Name of College or
University Undergraduate:

Major:
Degree:
Graduation Date:

Graduate (if applicable)

Name of College or
University Graduate
(if applicable):


Major:
Degree:
Graduation Date:

PhD (if applicable)

Name of College or
University PhD:

Major:
Degree:
Graduation Date:

Basis for Nomination
Below include a detailed discussion setting forth the basis for the nomination. Comments should specifically document the nominee's accomplishment(s) that impacted "quality" in mobility engineering, design and/or manufacture.

Societal Impact
Below include a description of the societal impact of the nominee's accomplishment.

Professional Leadership
Below describe the nominee's professional career in a leadership role focusing on quality in mobility engineering, including but not limited to, past work experience, society memberships, honors / awards, etc.

SAE Contribution
Below include a brief description of what inspired them to become an engineer.

Letters of Recommendation:
Provide at least two recommendation letters from individuals other than the nominator that support the nomination and briefly describe first-hand knowledge of the stated contribution. (Please include name, telephone number and email address, and forward to SAE Awards.)


Nominator

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:



Submit
Nomination Deadline: June 15th

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