Arch T. Colwell Cooperative Engineering Medal

Nomination Form

* denotes required fields.

Nominee

SAE Member Number
(if applicable)
*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
(if applicable)
Major
Degree
Graduation Date

NOTE: The boxes below are expandable and will accomodate 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
(if applicable)
*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: June 1

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