Award Nomination Form

About yourself

First name: *

Last name: *

Home Address

Country: *

Address Line 1: *

City: *

State/Region: *

Zip: *

Email address: *

College/University:

Curriculum:

Degree year:

Employer name:

Title:

Employer Address

Country:

Address Line 1:

City:

State/Region:

Zip:

Please list any previous awards from K-State and/or College of Engineering:

Please list any K-State connection/affiliations:

About nominee

Nomination for: *

First Name: *

Last Name: *

Home Address

Country:

Address Line 1:

City:

State/Region:

Zip:

Email address:

College/University: *

Curriculum:

Degree year:

Employer:

Title:

Employer Address

Country:

Address Line 1:

City:

State/Region:

Zip:

Please explain your reason for nominating this individual and how you feel they meet the criteria of the award. You might consider mentioning the following, but are not limited to: Their professional success and accomplishments, whether they are actively involved and engaged with the College of Engineering, dedication to and involvement with K-State, professional and public service. (1,000 words or less preferred)

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Annual Reports

Award Nomination Form