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Awards Nomination Form, Company, Region 5 |
Source: Region 5 Officer Training Manual.
OUTSTANDING COMPANY AWARD
NOMINATION FORM
Nominee:_______________________________________________
Address:_______________________________________________
Phone: Work: ( )_____-______ Home: ( )____- ______
Nominating Unit(Section, Sub-Section, Society Chapter, Student Branch):
_______________________________________________________________________
Describe in narrative from the nature of the OUTSTANDING relations that the Company has rendered to the IEEE at the local, regional, and/or national level. This could be exemplary service over an extended period of time or a specific service rendered over a short time span. Use a separate sheet.
Submitted by: ___________________________________
Member Number:___________________________________
IEEE position:___________________________________
Address: ___________________________________
Phone: ___________________________________
The following are the weighting percentage points for the listed activities:
a) Long term service
30% Relation with local IEEE Unit, Regional, Institute
30% Support of Employees to participate in IEEE functions
b) Specific service to the IEEE (one time)
40% Specific relations with the IEEE or the members
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Last updated September 16, 2011.