Chapter Awards Nomination Submission

Instructions

There are two (2) awards for EMBS Chapters.

EMBS Outstanding Chapter Award

(Honorarium $1,000USD/Travel Reimbursement of up to $1,000 USD)

This award is for an EMBS Chapter who has performed outstanding activities and services to the bioengineering community and the public during the previous calendar year. A single EMBS Chapter will be selected based on activities, community outreach and promotion of EMBS.

EMBS Best New Chapter Award

(Honorarium $500 USD/Travel Reimbursement of up to $1,000 USD)

This award is for outstanding activities performed by a new EMBS Chapter within the first 12 months of Chapter formation. A single EMBS Chapter will be selected based on activities, community outreach and promotion of EMBS.

Submit a Nomination for an IEEE-EMBS Chapter Award

Award Type: (*)

Nominated Chapter Information

Chapter Name: (*)

Section: (*)

Region: (*)

Website:

Chapter Chair Name: (*)

Chapter Chair Phone: (*)

Chapter Chair Email: (*)

Current Number of Members in Chapter: (*)

Date of Chapter Formation: (*)

Nominator Information

Name: (*)

Email: (*)

Phone: (*)

IEEE Member Number: (*)

Supporting Documentation

Please upload a single PDF file containing the following:

  • General Information: Detail the most recent Chapter officer information (Name, Officer Title, IEEE Member Number, Email) and identify the volunteer member who would attend the Annual Conference if your Chapter is successful in its nomination
  • Chapter Administration: Detail the statistics that best represent the overall dynamic of your Chapter
  • Activities: Describe your Chapter’s activities in each of the following areas: Membership Promotion, Education, Professional Development, Community Service, Social Activities, Communication, Industry Involvement, Future Planning, Other
  • Required Documentation with IEEE is complete and up to date: Please note if IEEE is in receipt of the current Officer Reporting Form, all l31’s for activities to date are submitted
  • Industry Involvement: Please note any funding received from outside sources (e.g. Siemens, Philips, etc) received by the Chapter to assist with Chapter Activities
  • Completed Chapter Award Nomination Form

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