Henry Souther Standards Award

Nomination Form

Nomination Deadline: August 31

* 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 nominee's unique and outstanding accomplishments in standards development in the disciplines of environment, safety, materials, testing and emissions.

*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.

*SAE Contribution
Below include a brief description of any contributions the nominee has made to SAE activities or programs. Specifically, contributions made in SAE standards development.

Supporting Recommendation
Below include at least one additional testimonial from someone other than the nominator. Along with the testimonial, include the person's 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: August 31

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