William Littlewood Memorial Lecture

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

*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
(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: February 1

Share
HTML for Linking to Page
Page URL