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					                                           NOMINATION FORM FOR
                            IEEE WILLIAM E. NEWELL POWER ELECTRONICS AWARD

                    For outstanding contribution(s) to the advancement of power electronics.
                            (See Nominator Guidelines for Eligibility Requirements.)

1. Name

2. IEEE Member: Yes          No ___      IEEE Grade, Year             IEEE Member #

3. Year of Birth

4. Professional Affiliation and Title

5. Business Address


6. Home Address and Email


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 b e reviewed by the
   Committee. Letters may accompany nomination or be submitted directly to IEEE.)




 Do not exceed 4 pages. Attached pages are not permitted. Type no smaller than 10 point.              Page 1 of 4
 9. Proposed Citation. (No more than 25 words.)



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




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




  Do not exceed 4 pages. Attached pages are not permitted. Type no smaller than 10 point.                   Page 2 of 4
  12. Achievements pertinent to the qualifications for the IEEE William E. Newell Power Electronics Award.
  (Criteria considered by the Evaluation Committee shall include: impact on the power electronics profession, on the
  Power Electronics Society, or on the universities where power electronics is taught, innovation research,
  consulting endeavors, professional seminars, realization of major projects, major project or program management,
  publications and patents. The quality of the nomination is also considered.)




(This section should be written in paragraph form and should not exceed one page in length.)




  Do not exceed 4 pages. Attached pages are not permitted. Type no smaller than 10 point.                Page 3 of 4
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
Tel:732.562.3844; Fax:732.981.9019; Email:awards@ieee.org




  Do not exceed 4 pages. Attached pages are not permitted. Type no smaller than 10 point.              Page 4 of 4

				
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