NACE AWARDS COMMITTEE — January 17, 2003 Page 33
NOMINATION FORM FOR THE NACE HERBERT H. UHLIG AWARD
This award is given for outstanding effectiveness in post-secondary, corrosion education either at the undergraduate or graduate level as exhibited by young educators who excite their students through outstanding and innovative teaching in corrosion. A young educator may qualify who has effectively conveyed and instilled in students the principles and applications of corrosion science and technology and stimulated students to enter professional pursuits in defining and mitigating corrosion problems.
To qualify, nominations must be received within 10 years of the nominee entering the field of education. Nominations must include the endorsement of three (3) NACE members closely associated with the nominee's activities, three (3) students who have been supervised by the nominee or enrolled in his/her course(s), and a senior academic administrator at the nominee's institution.
No posthumous nominations will be accepted. A nominee must be a NACE member in good standing.
Date submitted: Deadline: June 30
Full name of nominee:
Given Name Family Name
Present address of nominee:
Company:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
Date Entered Field of Education:
Title:
Nomination submitted by:
Company:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
Nominated by: (check one by double clicking on box, then click on ‘default value checked’)
Any Three NACE Members/ Section/Region Board/ Self/ Past H.H. Uhlig Recipient/ Senior Academic Administrator at Nominee’s Institution / NACE Awards Committee by Consensus of the Subcommittee
Nomination submitted on behalf of (name, member#):
Citation for award (25 words or less to be used for publicity purposes should the nominee be selected).
Attach nominee’s biographical data or professional resume.
NACE H.H. Uhlig Award
Page 2
H.H. Uhlig Educator Award Nominee Information
Please summarize the nominee's qualifications briefly as indicated below. Attach additional sheets as necessary. A supplementary resume or curriculum vitae may be included as well, if desired.
1. Nominee:
2. Academic Teaching Experience: Institution(s) and number of years at each.
3. Teaching Accomplishments: May include innovative teaching methods and subjects, community services which foster educational contacts, student involvements, teaching awards, and other recognitions.
4. Other Experience: May include industrial, governmental, and other professional contacts which foster educational development. Briefly relate these to the nominee's teaching effectiveness.
5. Graduate Experience, if any: Give a brief overview of graduate research contributions to student education.
6. Three (3) NACE Members closely associated with the nominee's activities. (Please attach letters of endorsement):
Name:
Company:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
NACE H.H. Uhlig Award
Page 3
Name:
Company:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
Name:
Company:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
7. Three (3) Students who have been supervised by the nominee or enrolled in his/her course. (Please attach letters of endorsement)
Name:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
Name:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
Name:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail:
8. Senior academic administrator at the nominee's institution. (Please attach letter of endorsement):
Name:
Institution:
Street Address:
City State
Postal Code/Zip Country
Telephone Fax
E-Mail: