IEEE-USA Award for Distinguished Contributions to Engineering Professionalism

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IEEE-USA Nomination Form

IEEE-USA Professionalism, IEEE-USA Public Service,
and IEEE-USA Leadership Awards

AWARD SUGGESTED (Check only one box)

	Robert S. Walleigh Engineering Professionalism Award
	Regional Professional Leadership Award, Region
	Distinguished Public Service Award
	Divisional Professional Leadership Award, Division
	Citation of Honor
	Professional Achievement Award (for individuals, only)

PROPOSED CANDIDATE

Name:
Position:
Work Address:
Work City:
Work State:
Work Zip Code:
Work Telephone:
Home Address:
Home City:
Home State:
Home Zip:
Home Telephone:
IEEE Member Grade:

The Awards & Recognition Committee of IEEE-USA reserves the right to consider any nomination for awards other than the award suggested when, in its opinion, the support and justification may more appropriately apply to other IEEE-USA awards.

1. Please state briefly why the nominee is deserving of recognition, keeping in mind the purpose of the award and the individual’s accomplishments. Please feel free to mail supporting documents to strengthen your nomination. Endorsement letters may be submitted separately. Self-nominations will not be considered.

NOMINATOR

Name:
Position:
Email
Work Address:
Work City:
Work State:
Work Zip Code:
Work Telephone:
Home Address:
Home City:
Home State:
Home Zip:
Home Telephone:
IEEE Member Grade:

THE IEEE CONSTITUTION STATES THAT THE INSTITUTE’S PURPOSES ARE SCIENTIFIC, EDUCATIONAL, AND PROFESSIONAL.

The Constitution defines professional as “directed toward the advancement of the standing of the members of the professions it serves; means to this end include, but are not limited to, the conduct and publication of surveys and reports on matters of professional concerns to the members of such professions, collaboration with public bodies and with other societies for the benefit of the engineering professionals as a whole, and the establishment of standards of qualification and ethical conduct.” Also, it states that “the IEEE staff shall strive to enhance the quality of life for all people throughout the world through the constructive application of technology in its field of competence. It shall endeavor to promote understanding of the influence of such technology on the public welfare.”

Keeping in mind the definition of professional activities in the IEEE Constitution, please provide the following information. Please note that the information you provide serves as the basis for the evaluations. The Committee will endeavor to confirm the validity of the information it receives, but it cannot supply or elaborate on statements.

2. What IEEE (or other) responsibilities has the nominee had in the last five years that have been related to professional activities? (Please provide approximate dates.)

3. What specific significant or distinguished contributions or achievements made you decide to submit this nomination?

4. What factors suggest to you that these contributions or achievements are substantially above and beyond those reflecting the good job expected of any occupant of this (these) position(s).

5. Please use this space to provide details concerning the nominee and his or her professional activities, contributions or achievements. Your comments should amplify your brief responses to items 1, 3, & 4. Exhibits may be sent separately. Please note that the evaluations are based upon accomplished and identifiable activities.

6. If others are submitting endorsements to support this nomination, please provide their names and addresses. Regional/Divisional Leadership Awards require endorsement by the appropriate Director.

NAME	PURPOSE	AWARD
IEEE-USA Robert S. Walleigh Award For Distinguished Contributions to Engineering Professionalism.	To honor members of the engineering profession for long-term dedicated effort and outstanding accomplishments in advancing the aims of IEEE professional activities in the United States.	Specially engraved plaque; one annually
IEEE-USA Award for Distinguished Contributions to Public Service.	To honor individuals not currently in the practice of engineering for contributions to furthering the professional goals of IEEE in the United States. (These goals may be furthered by such means as promulgating laws or regulations benefiting the profession, influencing industrial environments to foster professionalism; creating curricula or publications designed to enhance professionalism; and other similar activities.)	Specially engraved plaque; one annually
IEEE-USA Citation of Honor	To honor members who have made exemplary contributions toward achieving the aims of professional activities in the United States.	Specially engraved; maximum of four annually
IEEE-USA Regional or Divisional Professional Leadership Award	To recognize members for their outstanding leadership efforts in advancing the professional aims of IEEE in the United States within their Regional or Divisional/Society entities.	Engraved plaque; maximum of ten annually
IEEE-USA Professional Achievement Award	To recognize significant specific contributions, achievements and individual efforts in the development and implementation of professional activities in the United States.	Engraved plaque; as warranted by suitable specific accomplishments

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Updated: 27 February 2008
Contact: Chris Brantley, c.brantley@ieee.org

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