IEEE Honorary Membership, for meritorious service to mankind in IEEE's designated fields of interest. To an individual
This is a web interactive form. This form can also be downloaded in MSWord and .pdf formats.
1. Name of Candidate(s):
2. Year of Birth
3. Professional Affiliation and Title
4. Business Address (include Email)
5. Home Address
6. Education beyond twelfth grade. Please include Institution/Location, degree, year received and Honors. Honorary degrees denoted (H).
7. Endorsers, Names and Addresses, Email. Endorsers should be familiar with the nominee's achievements and should state specific achievements that qualify the candidate for this award. Endorsers should also include a statement indicating how long they have known the candidate and in what capacity. (Minimum of three supporting letters required; maximum of five permitted. No more than five letters will be reviewed by the Committee. Letters may accompany nomination or be submitted directly to IEEE.)
8. Proposed Citation. (No more than 25 words.)
12. Achievements pertinent to the qualifications for the IEEE Honorary Member. (See definition and criteria on attached "Brief Guideline to Nominatiors.") Include years and description of principal employment, also principal publications and patents.
14. Principal Professional Activities; Dates, Description.
15. Principal Honors
17. Nominator's Name; Business Affiliation & Address (or home address, if preferred); Telephone; Fax; Email.
18. How long have you known the candidate, and in what capacity.
NOTE: The IEEE Awards Board reserves the right to consider any nomination for Institute Awards other than the award suggested when, in its judgment, the support and justification may more appropriately apply to other Institute Awards.
Your email address:
