SNAME Distinguished Service Award Nomination Form This award gives society-wide recognition to members for dedicated personal service and/or technical contributions to SNAME and its activities. Date: I hereby nominate as a candidate for the SNAME Distinguished Service Award: Nominee’s Name: Title: Company: Address:
Phone: State briefly in narrative form why the nominee should be so recognized: (Complete a detailed listing of personal accomplishments in the “NOMINEE’S SNAME ACTIVITIES” section of this form).
This nomination is submitted by: Name/Member Type: Title: Company: Address: Phone:
99 Canal Center Plaza, Suite 310 | Alexandria, VA | 22314 sname.org | 703.997.6701
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NOMINEE’S SNAME ACTIVITES Current Status
SNAME Membership:
Year
National Service Years Served as Elected Member of Executive Committee or Council, Standing or Special Committee Chairman or Committee Member (list all positions held) From From From
To To To
Position Position Position
Additional Information
Section Service Years Served as Officer, Committee Chairman or Committee Member (list all positions held and all section affiliations) From From From
To To To
Position Position Position
Section Section Section
Additional Information
Technical & Research Program Service Years Served as Technical Committee or Panel Chairman or Committee or Panel Member (list all positions held) From From From
To To To
Position Position Position
Additional Information
99 Canal Center Plaza, Suite 310 | Alexandria, VA | 22314 sname.org | 703.997.6701
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NOMINEE’S SNAME ACTIVITES (CONTINUED) Authorship of Papers Year
Meeting
Paper Title
Additional Information
Attach additional pages when necessary to provide complete detail. ************** Please email completed forms to: Sofia Iliogrammenou Director of SNAME European Office SNAME | Alexandria, VA, USA | Athens, GR | www.SNAME.org
[email protected] Direct +30-210-452-8205 | Direct (U.S.A.) +1-703-997-6712 | Cell +30-6936-608-850
99 Canal Center Plaza, Suite 310 | Alexandria, VA | 22314 sname.org | 703.997.6701
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