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Medal for Distinction in Engineering Education nomination Form

Before filling out this nomination form, please refer to the eligibility and selection criteria.

This nomination form must be completed in a single session (you cannot save your work and come back to it later). It is strongly recommended to read the nomination form entirely before beginning in order to make sure you have all necessary information and documents ready. 

Submission deadline: Midnight (ET) on Friday, January 10, 2020.

 

Nominee information
Contact person submitting this nomination
Nominator information
Letter of support from first nominator

Please attach a letter of support. It should provide evidence and validation of the contributions described below. The letter should not exceed 2 pages.

Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Second nominator information
Letter of support from second nominator

Please attach a letter of support. It should provide evidence and validation of the contributions described below. The letter should not exceed 2 pages.

Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Third nominator information
Letter of support from third nominator

Please attach a letter of support. It should provide evidence and validation of the contributions described below. The letter should not exceed 2 pages.

Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Nomination Information
(Maximum 350 words)
(Maximum 500 words)
(Maximum 350 words)
(Maximum 350 words)
(Maximum 500 words)
To receive a confirmation email when you submit this nomination, please provide an email address where you would like it sent.