IEEE Jack S. Kilby Signal Processing Medal, for outstanding achievements in signal processing.
This is a web interactive form. This form can also be downloaded 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. Education beyond twelfth grade. Please include Institution/Location, degree, year received and Honors. Honorary degrees denoted (H).
8. 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.)
9. Proposed Citation. (No more than 25 words.)
10. Principal Employment: Year; Name of Company; Title; Brief, Concise Description of Responsibility.
11. Principal publications and/or patents pertinent to the achievement. (Prefer items of sole responsibility, otherwise give joint names.)
12. Achievements pertinent to the qualifications for the IEEE Jack S. Kilby Signal Processing Medal. (Criteria considered by the Evaluation Committee shall include: subject areas, such as algorithms, architecture and applications. The achievements cited may be theoretical, technological or commercial, and could have appeared in the form of publications, patents and products, or could be a generally recognized major technological advancement in the signal processing field. The quality of the nomination is also considered.) Not to exceed 1200 words
13. Principal IEEE Activities; Dates, Description.
14. Other Principal Professional Activities; Dates, Description.
15. Principal Honors (non-IEEE)
16. IEEE Honors/Awards
17. Nominator's Name; Business Affiliation & Address (or home address, if preferred); Telephone; Fax; Email.
18. How long have you known the candidate, and in what capacity.
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.
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