IVEC AWARD FOR EXCELLENCE IN VACUUM ELECTRONICS NOMINATION FORM

DATE NOTIFICATION OF AWARD COMPANY NAME ADDRESS 1 ADDRESS
AWARDING ORGANISATION ORGANISATION REGISTRATION FORM ONLY
CAVINKARE ABILITY AWARDS ARE NATIONAL AWARDS THAT ARE

DALE F FREY AWARD FOR BREAKTHROUGH SCIENTISTS
ENTRY FORM FOR THE 20192020 LANE ANDERSON AWARD
GOLD CLUB ACHIEVEMENT AWARD 20092010 DISTRICT

IVEC AWARD FOR EXCELLENCE IN VACUUM ELECTRONICS

IVEC AWARD FOR EXCELLENCE IN VACUUM ELECTRONICS

NOMINATION FORM (A-1)

NAME OF CANDIDATE:

INDIVIDUAL NAME .

LAST FIRST MIDDLE TITLE

B. GROUP NAME

LEADER’s NAME

MEMBERS NAMES

2. ADDRESS OF CANDIDATE (Individual or Group Leader)

ORGANIZATION .

Organization's Name Organization’s Affiliation

(Education/Industry/Government/Other)

ORGANIZATION ADDRESS

Street City State/Province Zip/Postal Code Country

HOME ADDRESS

Street City State/Province Zip/Postal Code Country

IVEC AWARD FOR EXCELLENCE IN VACUUM ELECTRONICS NOMINATION FORM

Preferred Contact Business Home

Telephone Fax Email

PROFESSIONAL HISTORY. Current position first.

4. PROPOSED CITATION (not more than thirty words)

5. NOMINATOR

Name: _ . __ _________________________________________________________________DATE ____________________________

(Signature)

Name: .

LAST First Middle Title

ADDRESS

TELEPHONE FAX EMAIL

NAME OF CANDIDATE PAGE 2 OF 3

6. INDIVIDUAL or GROUP CONTRIBUTIONS.

Identify the area that the candidate has made significant contributions, which qualifies him/her/them for Excellence for Vacuum Electronics. Choose one

and describe.

IVEC AWARD FOR EXCELLENCE IN VACUUM ELECTRONICS NOMINATION FORM

Engineer(s)/Scientist(s) Technical Leader(s) Educator(s)

Other individual or group contributions are:

PROFESSIONAL ACTIVITIES-AWARDS, PROFESSIONAL SOCIETY MEMBERSHIPS, COMMITTEE MEMBERSHIPS.

8. NOMINATION REFERENCES (Optional). List the complete names of no more than five.

TO IVEC AWARD REFERENCES:

Your name has been submitted as a reference on the IVEC award nomination of the individual or group whose name appears on the reverse side of this form.

Who is Ineligible to Serve as Reference for an IVEC Award Candidate.

No member of the IEEE EDS Technical Committee on Vacuum Devices shall act as a reference for any candidate for IVEC Award if the reference occupies any of these positions on the date of submission of the reference form. Nominators may not serve as references for the IVEC Award nominations, which they are submitting.

Who is Eligible to Serve as Reference for an IVEC Award Candidate.

As a Reference, you must be qualified to judge the candidate's work from a personal knowledge standpoint.

Instructions for Preparing the Reference Form.

Substantial reliance is placed by the IEEE EDS Technical Committee on Vacuum Devices on your statements. "Letters" of reference must cite specific evidence of the uniqueness and impact of at least one of the contributions of the candidate. Nonspecific comments, such as this person or group work is outstanding, without accompanying detailed justification, are not of value to the Technical Committee. Comments about the relative contributions of any work attributed to more than the nominee, for example, if you are a co-author of a listed work, are also very valuable to the Technical Committee. References may be submitted on the Reference Form (A-2) or you have the option to present the same material in a format of your choice.

If you are willing to serve as a reference, please supply the information requested and return it by email to the Chairman of the IEEE EDS Technical Committee on Vacuum Devices by February 1, 2006. Thank you for your cooperation.

LIFETIME ACHIEVEMENT AWARD NOMINATION FORM THE LIFETIME
STAR ALLIANCE UPGRADE AWARDS MILEAGE REDEMPTION CHART UNIT1000
(058) SERIAL C7606 BUILDING EMPLOYEES MIXED INDUSTRIES (STATE) AWARD

Tags: award for, ivec award, nomination, excellence, award, electronics, vacuum