2016FLC NORTHEAST REGIONALLABORATORY AWARD

NOMINATION FORM

*******DEADLINE FOR SUBMISSIONS: FRIDAY, JULY 1, 2016*******

2016FLC Northeast Regional Laboratory Award

Nomination Form

The FLC Northeast Regional Laboratory Award will be presented to the Federal laboratory within the FLC Northeast Region in recognition of extraordinary efforts, which exceed legislated requirements, in the furtherance of national and regional technology transfer activities.

Award Criteria

Nominees of the 2016FLC Northeast Regional Laboratory Award will be judged on the following criteria:

  1. Laboratory management must have made efforts and/or achieved accomplishments, internal to the Laboratory, that were beyond the legislated requirements for technology transfer.
  2. As a result of Laboratory management involvement, the achievements external to the Laboratory, in the area of technology transfer, were extraordinary in nature.

Submission Guidelines

  • Nominations for this award may be submitted by the Northeast FLC Laboratory Representative or Alternate in the Northeast Region, other laboratory personnel, FLC officers, contractor personnel, private companies, state and local governments, college and university faculty, or individuals with no particular affiliation, but who are knowledgeable of the Federal requirements for technology transfer.
  • Nominations may be submitted from outside the FLC Northeast Region. Nominations are to be submitted to the FLC Northeast Region Awards Chair through the regional contractor office.
  • The efforts and accomplishments must have taken place in the calendar year preceding the nomination.
  • Describe the nominee’s accomplishments and why you think they should receive the award.
  • Nomination narrative should not exceed five pages.
  • Font size should not be smaller than 12 points.
  • Do not attach supporting documentation (e.g. brochures, newspaper articles, press releases)
  • The complete nomination form must be sent electronically to the FLC Management Support Office at . The form must bein either an MS Word or a standard PDF format. Please do not send submissions that have been scanned.

Scoring of Nomination

Nominations in this category can receive a maximum of 100 points as follows:

  • Management’s efforts and accomplishments internal to the Laboratory that exceed the basic legislated requirements for technology transfer. (50 points maximum).
  • Management’s involvement, efforts, and accomplishments external to the Laboratory that were unique and unusual in nature. (50 points maximum).

Submission Deadline

Both the Nomination form and Submission Verification form must be received by the FLC Management Support Office by 5:00 p.m. EDT on Friday, July 1, 2016. No submissions will be accepted after this time.

Contact Michele Chambers at (856) 675-1022, for additional information.

Announcement of Results

The winners of the 2016FLC Northeast Regional LaboratoryAward will be announced inAugust 2016. Laboratories submitting nominations will be notified prior to the official announcement.

Award Ceremony

The winner will be honored in September 2016 at the FLC Northeast Regionmeeting at the FAA William J. Hughes Technical Center in Pomona, New Jersey.

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2016FLC NE Regional Laboratory Award

FOR FLC USE ONLY – DO NOT COMPLETE OR REMOVE
RECEIVED: SUBMISSION NUMBER:

2016FLC Northeast Regional Laboratory Award

Section A – Contact Information

NOMINEE INFORMATION

Name:

Title:

Organization:

Address:

City:State:Zip:

Phone:Fax:E-mail address:

A-1

2016FLC NE Regional Laboratory Award

2016FLC Northeast Regional Laboratory Award

Section B – Nomination Narrative

B-1

2016FLC NE Regional Laboratory Award

2016FLC Northeast Regional Laboratory Award

Section C – Submission Verification

NOMINEE:

Only include name and organization

NOMINATOR INFORMATION:

Name:

Title:

Laboratory:

Address:

Phone: Fax: E-mail:

C-1 2016FLC NE Regional Laboratory Award