IEEE Haraden Pratt Award Nomination Form

The IEEE Haraden Pratt Award, for outstanding service to the IEEE. Candidate must be a Senior Member or IEEE Fellow.

This is a web interactive form. This form can also be downloaded in DOC and PDf formats.

IEEE Haraden Pratt Award Nomination Form (DOC, 42KB)

IEEE Haraden Pratt Award Nomination Form (PDF, 1559KB)

Nominator Guidelines

1. Name of Candidate(s):

2. IEEE Member: Yes No

IEEE Grade Year Member #

3. Year of Birth

4. Professional Affiliation and Title

5. Business Address (include Email)

6. Home Address

7. State succinctly why the candidate is worthy to receive the IEEE Haraden Pratt Award.

8. Proposed Citation. (No more than 25 words.)

9. 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.)

10. Offices or important assignments in IEEE (AIEE and/or IRE). Include year, and note the particular aspect of this responsibility which contributed in a major way to Institute progress or achievement of objectives. Please number or list in chronological order.

11. Major non-IEEE Professional Activities considered beneficial to the Institute.

12. Education beyond twelfth grade. Please include Institution/Location, degree, year received and Honors. Honorary degrees denoted (H).

13.Principal Employment: Year; Name of Company; Title; Brief, Concise Description of Responsibility.

14. Briefly cite principal publcations, writings, presentations and patents.

15. Principal Honors (non-IEEE)

16. IEEE Honors/Awards

17. Nominator's Name; Business Affiliation & Address (or home address, if preferred); Telephone; Fax; Email.

17a. How long have you known the candidate, and in what capacity.

Enter your email address here:

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.