Henry Ford II Distinguished Award for Excellence in Automotive Engineering

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
(if applicable)
Major
Degree
Graduation Date

Please note: Teams of up to four members may be submitted as a single nomination and are not required to work at the same company. If you are submitting a team nomination, below include all team member information:

Team Leader Name:
Team Member Name(s):


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.

*Statement of Contribution
Provide a single statement describing the nominee's outstanding contributions.

*Description of product or manufacturing process
Provide a brief description of 75 words or less of a product or manufacturing process which would make the nominee a candidate for this award.

*Educational and professional background
Provide a brief description of the nominee's educational and professional background.

*Is this product or process in current production?
Yes
No
If yes, please explain:

*Will this product or process result in a savings to the company?
Yes
No
If yes, of what magnitude:

*What vehicle application is the product or process applicable?
Passenger car/light truck
Medium and heavy duty truck
Off-road

*Will this product or process result in benefits such as safety, convenience or comfort to the consumer?
Yes
No
If yes, please be specific:

*Has the nominee applied for a patent?
Yes
No

*Has the nominee received an award for this product or process from the company?
Yes
No
If yes, please be specific:

*Has the nominee received any other recognition?
Yes
No
If yes, please be specific:

*Has the nominee presented a technical paper on this product or process?
Yes
No
If yes, please be specific:

*Has the nominee used industry wide practices or standards such as SAE standards in the design of the product or process?
Yes
No
If yes, please be specific:

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
Date of Nomination
Submit
Nomination Deadline: June 1

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