Overview

Use this Nomination Form if you wish to submit a nomination for:

Nominate

This field is for validation purposes and should be left unchanged.
1. Nominee Information
Please note, Self Nominations are not allowed!
Is the Nominee ITS Society Member?(Required)
2. Organization Name and Affiliation
Address(Required)
List all degrees, with most recent first in a table format with [Degree, Year of Degree, University, Department, Location]
List all professional history experience, from, to, name of company, position held
5. Award Type(Required)
Not to exceed 20 words
Max 750 words
Max 500 words
Max 500 words
Max 300 words

References

List names and details of three referees
Please have 3 reference letters fill out the form: IEEE-ITSS Reference Form, and upload the corresponding PDF files below.
Referee #1
Max. file size: 5 MB.
Referee #2
Max. file size: 5 MB.
Referee #3
Max. file size: 5 MB.

Nominator Information

Describe in less than 100 words your relationship with nominee