NOMINATION for The

NOMINATION for the

IEEE Geoscience and Remote Sensing Society

Regional Leader Award 201Year

1. Name of Nominee:

2. Title

Professional Affiliation:

3. Full Address:

(include Email)

4. IEEE Member:

5. Principal Employment:

/ Year / Institution / Location

6. Education beyond twelfth grade.

include, year, degree institution/location

/ Year / Degree, Institution / Location

7. Achievements pertinent to the qualifications for the Regional Leader Award

(no more than 300 words; separately attach the nominee’s CV, including list of relevant publications & patents, awards and honours received) Special attention should be given tom quality, significance and impact of the candidate’s activities - quantity of contributions - duration of significant activity – regional, organizational achievements – presence in the GRSS community.

9. Non-IEEE Activities Awards, Professional Society Memberships, Committee Memberships.

(no more than 200 words)

10. Recognitions, Honours and Awards received

(no more than 200 words)
10. Proposed Citation. (No more than 20 words.)
11. Nominator: Name, Affiliation, Address
Telephone; Fax; Email
12. As nominator, how long and in what capacity have you known the candidate?
13. List of Endorsers: Names and Addresses, Emails (maximum of three). Endorsement letters may accompany the nomination or be sent separately.

Please submit the nomination before Dec. 15. to:

Dr. Mahta Moghaddam

Electrical Engineering

University of Southern California

3737 Watt Way, PHE 634

Los Angeles, CA 90089, USA

EMail: (preferred)