TAB HALL OF HONOR RECIPIENT NOMINATION FORM

CANDIDATE NAME

Contact information:

BIOGRAPHY: Provide a biographical statement of the nominee, exclusive of the nominee’s IEEE accomplishments and activities (maximum length of 150 words).

CITATION: suitable for use in the “TAB Hall of Honor” site (maximum length of 20 words).

DESCRIPTION OF ACCOMPLISHMENT(S) RELATIVE TO THE CREATION, DEVELOPMENT, OR ADVANCEMENT OF THE TECHNICAL OBJECTIVES OF THE IEEE: suitable for use in the “TAB Hall of Honor” (maximum length of 300 words).

DATE(S) OF ACCOMPLISHMENT(S):

RELEVANT IEEE ACTIVITIES: List the nominee’s IEEE positions relevant to the specific accomplishment(s) described above with dates of service (maximum of 300 words).

REFERENCES: Include a minimum of two, maximum of three references. The reference forms are to be sent directly to the TAB Hall of Honor Selection Committee

1. Name, email contact

2. Name, email contact

3. Name, email contact

Nominator: Name, email contact

NOTE: The Nominator cannot serve as a reference. Self-nomination is acceptable.

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