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Distinguished Service Award

Nominee Information
Provide a nominee for Distinguished Service Award
Provide the Nominee's affiliation.
Provide a valid email address for the Nominee.
Provide the Nominee's official IEEE Member Number.
Provide a mailing address for the Nominee
Provide a citation of 50 words or less
Supporting Documents
(Click 'choose file' to attach a file. You will see your selected files in the list below the attachment field.)
Attach a Biographical Summary, maximum 350 words.
Attach a Nominee CV.
Attach (1) letter from nominator outlining qualifications of the nominee. Maximum 2 pages, 12 pt font.
Note regarding endorsements: Attach at least 1, but no more than 3 Letter(s) of Support. Maximum 2 pages per letter, 12 pt font.
Nominator Information
Enter the name of the individual Nominating the Nominee
Provide a valid email address for the Nominator.