William Littlewood Memorial Lecture

Nomination Form


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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:

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

Major:
Degree:
Graduation Date:

Basis for Nomination
Below include detailed discussion setting forth the basis for nomination. Comments should specifically highlight the qualifications of the candidate(s) in 50-70 words.

Nominee's Professional Background
Below include a brief description of the nominee's professional background, including but not limited to, past work experience, society membership, honors or awards, etc.

Letters of Recommendation
Below include additional letters of recommendation. Provide a reference and brief discussion from someone other than nominator, include reference name, telephone number, and email address.

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:



Submit
Nomination Deadline: February 1

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