Arch T. Colwell Cooperative Engineering Medal

Nomination Form


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:
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:

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 brief description of the nominee's unique, outstanding contributions.

Nominee's Professional Background
Below include a description of the nominee's professional background, including but not limited to, past work experience, society memberships, honors or awards, a listing of papers authored, technical achievements, affiliations outside SAE relating to standards, etc.

SAE Contribution
Below include a description of the unique and outstanding contributions the nominee has made to the work of the SAE Technical Standards Board and its Councils/Divisions and Committees, and include a listing of the nominee's membership status on each.

Value of Contributions
Below explain the significance and value of the nominee's contributions in terms of contributions to the arts, sciences and technologies of the automotive engineering field.

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:
Committee/Council/
Division :

Date of Nomination:



Submit
Nomination Deadline: September 30

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