2021 IEEE Circuits and Systems Society | Society & Achievement Awards Nominations Form

Name of Award *

Nominee Name *

Nominee Email *

Nominee Telephone (Day) *

Present Employment Position *

Highest Degree Attained *

Nominee's IEEE Member Number *

Is nominee a member of the CAS Society Board of Governors? *

Yes

No

Nominator Name *

Nominator Telephone (Day) *

Nominator Email *

Basis for Nomination *

Proposed Citation *

Short Bio *

Publications *

Five total reference letters must be uploaded prior to 15 February 2020 via the upload site here, https://ieee-cas.org/forms/2021-ieee-circuits-and-systems-society-society-achievement-awards-reference-letter-upload-form. Your nomination is not complete until this upload has been done, incomplete nominations will not be considered.

Reference Letters *

I have read the above statement and will upload the reference letters prior to the deadline.

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