ime recognition of excellence nomination form...attn: advisory board recognition of excellence...

IME Recognition of Excellence Nomination Form Industrial & Manufacturing Engineering, North Dakota State University

Name

Position/Employer

Mailing Address

City, State, Zip

Degree(s)

Year( s) Department:

Home Phone Business Phone

Email

NOMINEE

Recommendation (continue if necessary on separate sheet)

Individuals will be selected for recognition based on contributions to IME department, business, industry, or academics and to the profession as a whole.

Name

Mailing Address

City, State, Zip

Home Phone Business Phone

Email

NOMINATOR

Mailing Address: Industrial and Manufacturing Engineering Department Attn: Advisory Board Recognition of Excellence Committee PO Box 6050 Dept 2485 Fargo, North Dakota 58108 Supplemental documentation is also encouraged, i.e., vita, newspaper or magazine articles, photographs, etc. Questions regarding this nomination may be addressed to Loralee via phone: (701) 231-9818 or via email: loralee.meier@ndsu.edu.

Signature Field

Date/Time Field