IEEE SPS SOCIETY AWARD NOMINATION FORM
PLEASE NOTE: A board or committee cannot nominate one of its members for the award. However, a member of a board or committee can be nominated by another board or committee. Please note: boards or committees who submit nominations, but have voting Board of Governors members sitting on their boards or committees must ensure that Board of Governors voting members do not participate in the board/committee award nomination or selection process. Current officers and members of the Signal Processing Society Board of Governors and Awards Board are ineligible. Members of the Awards Board and voting members of the Board of Governors are not permitted to submit nominations. Non-voting Board of Governors members are permitted to submit nominations. Previous recipients of the SP Society Award are ineligible. Self-nominations are not accepted or considered.
1. NOMINEE INFORMATION:
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Last Name (Family) First Middle Prefix
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Organization’s Name (If self-employed, please indicate) Organization's Affiliation (Education/Industry/Government/Other)
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Preferred Mailing Address
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City State/Province Zip/Postal Code Country
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Telephone # Fax# E-mail IEEE Member Number
2. PROPOSED CITATION (if awarded):
3. NOMINATING PERSON, COMMITTEE OR BOARD INFORMATION:
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Committee/Board Name
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Last Name (Family) First Middle Prefix
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Organization’s Name (If self employed, please indicate) Organization's Affiliation (Education/Industry/Government/Other)
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Preferred Mailing Address
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City State/Province Zip/Postal Code Country
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Telephone # Fax# E-mail IEEE Member Number
4. IF VOTING MEMBERS OF THE BOARD OF GOVERNORS ARE INCLUDED ON YOUR BOARD/COMMITTEE, WERE THEY EXCLUDED FROM THE AWARDS NOMINATION AND SELECTION PROCESS? YES NO
IF “YES,” EXPLAIN HOW; IF “NO”, EXPLAIN WHY.
5. SIGNIFICANT SPS SERVICE AND LEADERSHIP: (no more than 250 words)
6. SUCCINCT STATEMENT SUPPORTING THE NOMINATION: (no more than 500 words)
7. HAS THE NOMINEE AGREED TO PRESENT THE NORBERT WIENER LECTURE AT THE UPCOMING ICASSP, IF SELECTED? Yes No If “No,” explain why.