The IEEE Richard M. Emberson Award, for distinguished service to the development, viability, advancement, and pursuit of the technical objectives of the IEEE.
This is a web interactive form. You can also download the form in MSWord and .pdf formats.
1. Name of Candidate(s):
2. IEEE Member: Yes No
IEEE Grade Year Member #
3. Year of Birth
4. Professional Affiliation and Title
5. Business Address (include Email)
6. Home Address
7. State succinctly why the candidate is worthy to receive the IEEE Richard M. Emberson Award.
8. Proposed Citation. (No more than 25 words.)
9. Endorsers, Names and Addresses, Email. Endorsers should be familiar with the nominee's achievements and should state specific achievements that qualify the candidate for this award. Endorsers should also include a statement indicating how long they have known the candidate and in what capacity. (Minimum of three supporting letters required; maximum of five permitted. No more than five letters will be reviewed by the Committee. Letters may accompany nomination or be submitted directly to IEEE.)
10. Offices or important assignments in IEEE (AIEE and/or IRE). Include year, and note the particular aspect of this responsibility which contributed in a major way to Institute progress or achievement of objectives. Please number or list in chronological order.
11. Major non-IEEE Professional Activities considered beneficial to the Institute.
12. Education beyond twelfth grade. Please include Institution/Location, degree, year received and Honors. Honorary degrees denoted (H).
13.Principal Employment: Year; Name of Company; Title; Brief, Concise Description of Responsibility.
14. Briefly cite principal publcations, writings, presentations and patents.
15. Principal Honors (non-IEEE)
16. IEEE Honors/Awards
17. Nominator's Name; Business Affiliation & Address (or home address, if preferred); Telephone; Fax; Email.
17a. How long have you known the candidate, and in what capacity.
Enter your email address here:
NOTE: The IEEE Awards Board reserves the right to consider any nomination for Institute Awards other than the award suggested when, in its judgment, the support and justification may more appropriately apply to other Institute Awards.
