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					THE INSTITUTE OF ELECTRICAL AND ELECTRONICS ENGINEERS, INC.
NOMINATION FORM FOR IEEE JAMES L. FLANAGAN SPEECH AND AUDIO PROCESSING AWARD For outstanding contribution to the advancement of speech and/or audio signal processing. To an individual or a team of not more than three. (See Nominator Guidelines for Eligibility Requirements.)

1. Name(s)

2. IEEE Member: Yes IEEE Grade, Year

No

3. Year of Birth

IEEE Member # Email

4. Professional Affiliation and Title

5. Business Address

6. Home Address

7. Education beyond twelfth grade. Honorary degrees denoted (H). Institution/Location Degree Year Honors

8. Endorsers, Names, Addresses, and 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.)

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9.

Proposed Citation. (No more than 25 words.)

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

11. Principal publications and/or patents pertinent to the achievement. (Prefer items of sole responsibility, otherwise give joint names.)

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12. Achievements pertinent to the qualifications for the IEEE James L.Flanagan Speech and Audio Processing Award. (Criteria considered by the Evaluation Committee shall include: impact on the fields of speech and/or audio processing technology, including innovation, leadership, honors or seminal contributions as evidenced by publications/patents, or transition to practice. The quality of the nomination is also considered.)

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13. Principal IEEE Activities; Dates, Description.

14. Other Principal Professional Activities; Dates, Description.

15. Principal Honors (non-IEEE)

16. IEEE Honors/Awards

17. Nominator: Name, Business Affiliation and Address (or home address, if preferred); Telephone; Fax; Email.

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

18. Suggested Presentation Location. (Please provide an IEEE-sponsored technical conference or symposium.)

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. Date: _____________________________ Signature: _____________________________

Submit to: IEEE Awards Activities, 445 Hoes Lane, Piscataway, NJ 08854 via Email: awards@ieee.org, Tel: 732.562.3844, Fax: 732.981.9019

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