EOY Nomination Form

Candidate's Personal Information
Nominator Information
Professional Registration (if applicable)
Provide your Professional Engineer (P.E.) License Information
Educational and Collegiate Achievements
(Academic degrees: (State date, major, institutions, and identify engineering degrees accredited by ABET.)
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Continuing Education during the last 12 months
a. College credit courses, excluding degrees mentioned above: (State course and date.)
b. Short courses and seminars: (State course and date.)
b. Papers published: (State article, journal and date.)
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Awards/Honors
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Engineering Achievements
Submit a statement of 400 words or less (please submit a separate sheet double-spaced) supporting the candidate's nomination. Facts presented should include engineering achievements in any technical disciplines or management. Please define all acronyms and technical terms.
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Professional/Technical Society Activities
Civic and Humanitarian Activities
For publicity purposes, list the names and addresses of two Malayalam publications in nominee's hometown