International Leadership Citation Nomination Form

Nomination and supporting information should be typed and emailed to o later than July 1st
Eligibility Requirements:
Individual or teams responsible for designing a product or developing a manufacturing process which is assessed to be a significant technical effort and which has had the greatest positive impact on the passenger car, truck, and bus industries. Providing supervisory or managerial engineering direction does not fulfill the requirement.

NOMINEE INFORMATION

SAE Member Number
*Last Name / *First Name / Middle Name
*Title/Position / Department/Division
*Employer Name / Mail Stop
*Street Address
*City / *State/Province / *Postal Code / *Country
*E-Mail Address / *Telephone Number / Fax Number
*Name of College or University - (Undergraduate) / Major Course of Study / Degree / Graduation Date
Name of College or University - (Graduate) (if applicable) / Major Course of Study / Degree / Graduation Date
Name of College or University - (PhD) (if applicable) / Major Course of Study / Degree / Graduation Date

SUPPORTING INFORMATION

NOTE: The gray areas below are expandable and will accommodate an indefinite amount of text. Text can be typed directly into the gray areas or you can copy and past text from another source.
  1. *Basis for Nomination - Below include detailed discussion setting forth the basis for nomination. Comments should specifically highlight how the nominee has been involved in furthering SAE’s international goals and objectives and/or implemented changes to enhance SAE’s value to international members.

  1. *Statement of Contribution:Please cite how the nominee has generously given their time to SAE; Provide a statement describing their SAE leadership roles related to International activities and describe any innovative ways they have helped to enhance SAE’s international image and perception.

  1. *Nominee's Professional Background - Below include a brief description of the nominee's professional background, including but not limited to, past work experience, society membership, honors or awards, etc..

  1. *Letter(s) of Recommendation - Please provide at least one letter of recommendation from someone other than the nominator.

* Mandatory Fields

NOMINATOR INFORMATION

SAE Member Number (If applicable?)
*Nominator’sLast Name / *Nominator’s First Name / Middle Name
*Title/Position / Department/Division
*Employer Name / Mail Stop
*Street Address
*City / *State/Province / *Postal Code / *Country
*E-Mail Address / *Telephone Number / Fax Number
Date of Nomination:

* Mandatory Fields