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Institute of Electrical and Electronics Engineers

 

Awards Nomination Form, Branch Counselor,  Region 5

Source: Region 5 Officer Training Manual.

IEEE REGION 5
OUTSTANDING STUDENT BRANCH COUNSELOR
NOMINATION FORM

 

Nominee:_______________________________________________

Address:_______________________________________________

Phone: Work: (   )_____-______ Home: (    )____- ______

Nominating Unit(Section, Sub-Section, Society Chapter, Student Branch):

 

Describe in narrative form the nature of the outstanding service which the nominee 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 specific service rendered over a short time span.

 

Submitted by: _______________________________________________________

Member Number:_______________________________________________________

IEEE position:_______________________________________________________

Address:       _______________________________________________________

Phone:        (    )____ - ______

--- -------

The following are the weighting percentage points for the listed activities:

a.) Must be IEEE member

b) Long-term service

c) Specific one time activity

 

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Last updated May 04, 2008.