The world's leading professional association
for the advancement of technology
Text size »A  A  A  
MGA Awards and Recognition Administration and Resources
Expand Menu
Administration and Resource Links
MGA Award Types
William W. Middleton Distinguished Service Award
Larry K. Wilson Transnational Award
Innovation Award
Leadership Award
Achievement Award
GOLD Achievement Award
IEEE Vice President Member and Geographic Activities Discretionary Award
Expand Menu
Friend of IEEE Member and Geographic Activities Award
Expand Menu
Section Recognition Awards
Student Branch Membership Growth Award


MGA William W. Middleton Award Nomination Form

Printable Format
Printer Friendly


Nominee
   
Name*:
Member #*:
Address*:
City*:
State/Province*:
Postal Code*:
Country*:
Email*:
Phone (H):
Phone (O):

Responsibilities
   
Current Responsibilities*:
Previous Responsibilities*:
Length of Service*:
Significant Nature of Achievement*:
Suggested Citation*:

Endorsement
       
1. Name*: Member #*:
2. Name*: Member #*:
3. Name*: Member #*:

Nominator
   
Nam*e:
Member #*:
Address*:
City*:
State/Province*:
Postal Code*:
Country*:
Email*:
Phone (H):
Phone (O):

Acknowledgement of Regional Director
 

Additional Comments
 
 

PLEASE USE ONE ADDITIONAL PAGE IF NECESSARY: The MGA Awards and Recognition Committee 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 MGA Awards. MGA awards are peer-recognized awards; therefore, SELF NOMINATION IS NOT PERMITTED.

top of page



IEEE Home   |   Sitemap   |   Search   |   Privacy & Security   |   Terms & Conditions    |   Nondiscrimination Policy


© Copyright 2009 IEEE – All Rights Reserved.
Use of this website signifies your agreement to the Terms of Use.
For questions or comments, please contact the IEEE Webmaster.