ࡱ> GIF TbjbjAA 40#y#yT$ $/.LzzzzUUU,~UUUUUzzU.zzU"nNbs":0/B,AAnn$UUUUUU/AUUUUUUUUU :    AWARD NOMINATION FORM For Award Year___________ For select AIChE Division/Forum and Committee Awards: Send an electronic copy of this form, supplemental sheets, supporting letters and documents to the appropriate contact for the specific award. New instructions for Institute Awards, the Founders Award and Van Antwerpen Award can be found at: HYPERLINK "http://www.aiche.org/About/Awards/InstituteandBoard.aspx"http://www.aiche.org/About/Awards/InstituteandBoard.aspx Deadlines and descriptions of awards are listed on the AIChEWeb: HYPERLINK "http://www.aiche.org/awards"http://www.aiche.org/awards BACKGROUND DATA 1. Name of the Award: ________________________________________ Todays Date: ____________________________ 2. Name of Nominee: _________________________________________ Date of Birth: ____________________________ 3. Present Position (exact title): _________________________________ Telephone Number: (______) ________________ Company: _______________________________________________ Email: __________________________________ Street Address: __________________________________________________________________________________________ __________________________________________________________________________________________ City: ____________________________________________________ State: ____________ Zip: __________________ 4. University Education: Institution: Degree Year/Major __________________________________________ ________________ _____________________________ __________________________________________ ________________ _____________________________ __________________________________________ ________________ _____________________________ __________________________________________ ________________ _____________________________ 5. Positions Held: Company or Institution Position or Title Dates of Employment __________________________________________ _________________________ ____________________ __________________________________________ _________________________ ____________________ __________________________________________ _________________________ ____________________ __________________________________________ _________________________ ____________________ 6. Technical and Professional Society Memberships and Offices held: _________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Nominators Name, Address, Telephone Number and email: _________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Nominators Signature: __________________________________________________________________________ 7. Academic and Professional honors (include awards and prizes, membership in honorary societies and date the honor was received): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ CITATION Proposed citation (not more than 25 carefully edited words that reflect specific achievements): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ QUALIFICATIONS Each award has a different set of qualifications. These are described on the AIChE website, HYPERLINK "http://www.aiche.org/awards"www.aiche.org/awards. After reading them, please attach sheets providing information on the nominee. 1. Identification and evaluation of the accomplishments on which the nomination is based (maximum of two double spaced pages). 2. If the nominee has previously received any award from AIChE or one of its divisions/forums, and explicit statement of new accomplishments or work over and above those cited for the earlier award(s) must be included (max. of one double spaced page). 3. Selected bibliography (including books, patents, and major papers published). 4. Please do not include in AIChE Institute or Board of Directors Award nominations reprints or listings of invited lectures, seminars and other courses taught. SUPPORTING LETTERS Letters from no more than four individuals whose names are listed below. Awards Committee members and subcommittee members for the award may not write supporting letters. Name: ___________________________________________________ Affiliation: ___________________________________ Name: ___________________________________________________ Affiliation: ___________________________________ Name: ___________________________________________________ Affiliation: ___________________________________ Name: ___________________________________________________ Affiliation: ___________________________________ Deadlines for Division, Forum, Committee, and other awards vary. See AIChE website, HYPERLINK "http://www.aiche.org/awards"www.aiche.org/awards. Division, Forum & Committee Awards: Send to address indicated in award description 45?i] ^ _ ζ}i[}M=.&jhrKUh~hrKCJOJQJaJh~hrK5CJOJQJaJhrKCJOJQJ^JaJh_"CJOJQJ^JaJ&h~hrK5CJOJQJ\^JaJ h~hrKCJOJQJ^JaJhrKCJOJQJ^JhLUCJOJQJ^JhLUB*CJ0OJQJ^Jph3/h~hLU5B*CJ0OJQJ\^JaJ0ph%hLU5B*CJ4OJQJ\^Jph3<jh#hLU5B*CJ4OJQJU^JmHnHph3u45 f g w x N O ' a b { bdh$a$^gdrK & FgdrK$a$gdrK_ ! H I d e f g w x 2P'ôxiXJX;h~hrKCJOJQJaJhrKCJOJQJ^JaJ h~hrKCJOJQJ^JaJh~hrKCJOJQJ^Jh~hrKB*OJQJphh~hrKCJOJQJ^Jh~hrKOJQJ^J h~hrK0JCJOJQJ^Jh~hrKCJOJQJ^J h~hrKCJOJQJ^JaJhrKCJOJQJ^JaJ#hi_hrK0J5CJOJQJaJjhrKUhrK2x4^SmnT&'(12dhdh'(12uw   !hi;;~kV(h{ uhrK56CJOJQJ\]aJ$h~hrK56CJOJQJ\]'h~hrK5B*CJOJQJ\ph3h~hrKB*OJQJph h~hrK0JCJOJQJaJhrKjhrKUh~hrKCJOJQJaJ'h~hrK5B*CJOJQJ\ph3'h~hrK5B*CJOJQJ\phh~hrKOJQJ2h: uvwstBCGdhhT$a$gdrK$a$ T̹h~hrK5CJOJQJ\$h~hrK56CJOJQJ\](h{ uhrK56CJOJQJ\]aJjhrKU,h{ uhrK0J56CJOJQJ\]aJ21h:prK/ =!`"`#`$% rDdG  nA?AICHECOLPicture 1AICHECOLb@~G)d?hhDn`@~G)d?hPNG  IHDRSY PsRGBgAMA a cHRMz&u0`:pQ< pHYs!!IDATx^]sřg+%Ua ,bB'ـ kHC&`r\,,I|[,Z_|m9ƷCh4[I3ҌFޟ23_cUS~qρ뷅cƮDM D-D86M$G w|7n/O_Kn~6]EIL6Gןpбھ?5,5=mӶz{Gz>w[egUZM@쳠ܝxw}sO 9-Ֆo|/nowCƯUC}jI +'<{^_n 4tĝ0"ge6\UY ΌfGZ/9ڹXK_Qѥ6o-;8'm=G>z]3sj֟K d ڦ`(19~]Xe>7ߟ)ܣ&j[y;Ze^%%mazj4 BIÂo6.[?d/kraTL}tpa %N雿E 2O =Uœ@kՊ.mO-7j8iɔ`)Q35g /F\.#`bE,eO} aj^Xd̿,m˞p)!E>aB_Y5&"x)|eVsj`*O]sj\e**ylBW/aTL/j Ƽ=>w5lWT҆#{.\noN=&M'6|s[asM!o>mS6ᚵlx᎗ f4٢VNj.J7t.8 5WTou}R`]{*_5U"lulo~0\c=EcUy#^ziD~.M~Xv!,峝KxnI?K\p`>F9D>T 'ӇtJ[ w_(ܺ/msϻs9p)Z?; 7"_"7 "Fbxl Ku|Wcн _U 7LlM0 gϴ'/KW:|Hϋ뛄 ,)Ae 73. *7Y3wB}1ET̗bibSg>%3|1CĜ OTWjIL#ow4#x_l?^鋁W @|x-Y5+@ck8 H''4a3 |\]*y)B>3"Lac~1.뚼=l=4&η'-H]E#Ա':s<<ǴZs*d'uo33MT 6MDw;=pO{[ǣ&L#[I *Ƅ[0| Uȥ2y8Rn#{׎^'G>y@ao[Ƹ݉ N!v @ Y'`EiKdBX4[7PwvR9Clp^!3§/5Ҍ|DIl]SNeծKayܱlB1EDԞ=u˩En:O3CN8mH =us0pANy@Vpp!ϕ7uvqhZŘ#1p h^)UC>Eѱe',<:q%_G\ˣE~,~a-fL@o1| BR)E>/o 2BfksgY8?E6YH WJq"?x#qÒ3X]$v[ z7"|xCyOsߕB~s8,l%>B"G`4X jO!R cd dzO*/'KOa^4!W-@0 gbcMtG>rEʓ1HYa78}_T2 ~]$"?RG 0[/&( 7#)~zN,DWgWͣ=Σ)D{ 2K uetPKȭL-LRи'xjr)E7dw%7q_Ăpt$ce\܏5"y87E?Z ȇDd-?c)cޖ*n( &@ҋԒkD~}{T#o"A>̄nU0͸C^ )aps)D}cA97aGf{$9qiBIXqc4?ב>̇_lggV ʨ|Ҙ^RcJcJa=L#w\ET.ju2&2m¢:tɌ iZ@,fЛƲ᢫,de`P.U-TF×}YnBs75vzd:{\Gj!&tOǨGNA bwta f(GMiD#T͝fe9^C8#-3̟3Rl`EѸSw;Zo{[#v.᤼"B>` B xn=Pa)js7\]&}䟗9YTxm^(7@9E!^go*ҘE]y"Xȿ?6+_2}؇RИշHU Ҳ3[a֌:֑MOk;~a؟;$Y9i3Qp5O]7UxaN sՋ׷R[g\bX-Ldx4:ϲ+TS6ߚ9J $lƳT搃z =z`^m4 [⤖~(1`#WkCopI\*[Ї"_ buu"F>y<, P|N 'm㻮KJc:#̓Ť;NE>F3qx+j2ZZkaNka ωsvc0wsewZ"@"5 8ROjNekG>FB:tstEkf>$@TJBF%|ƥ @sl᪓!f oZ|GFo.+dTc;Zba:0*h)Y{OCMj\8=  J\ " H0q9%֣D'WP#B-#3K \ O)^Xˊ-2PoQ1 c۞+T%_bE1w9_\ߦ,S+ZWcV"-V diIoaNd!l[7PS\#Ժ*9хS6ҮX䫱PGͯPn(\L@d*/o՘NA>TtzU|k "pH2+S 6sd^_1|\XD\,5x#B\jwcuC%!yZr2!ZHAa )v!(1xhˆlvG64:|".&|}~@ 3<#4|H#P2a))l>4?1z`/yęٕ eL{qѯ?Z(uI1|al brߵ t+*BLc Q"zDyͦ) K NBfx-Wc|. mfO  ++BB3͠DI28=6a|00oruL HO2#1B&#;ǔ_LpR ;8`=&%|!$Mܒ19'wp=ɿ^T$]C>Ƴ|.珻{'9:ͧܶ0":n!*-9ֵ230ͩ?=ʇkÙYJ2p$L2#uY=~o!c +%jukep[ EWrc`Nd"L'Ǭ 0Е8z. /,>s`&H@ب{2/ϐ]~B^]ÕRYpgi`>21$̢r_46zC*x#8& {L"9D5A.Рq>xGTBnڏ6FYĺ}o., {.+b7:n\W^!8A7i9*($5gPo 2"{W4HeL4CclP7vN_MV`Esk#2bՓc!@wa1|΅UoNUpC?}_;:Ԗ"K'4g܃=ߨIV0S!a^7B@>FK~ ¢d, -M[9CF a^J•o  C=l~6|#y1>=- p#2~RBz>?@fIkEǣ [.{o/C3ȷ'I90<3i_h`f _,?6]s Y} %fds\(nyYT9^iT/oƘ"i?MTQBEP?HHdEIGߩ甸2MK,.~r\CGSW7Q;4fH[x EdP%J g]#ޥ:2i]5<7IENDB`2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ 3}MNormalCJ_HaJmH sH tH P@P 3}M Heading 1$@&5B*OJQJ\^Jph3DA`D Default Paragraph FontRiR Table Normal4 l4a (k ( No List 6U@6 3}M Hyperlink >*B*ph>B@> 3}M Body TextCJOJQJ^JH@H ~ Balloon TextCJOJQJ^JaJN!N ~Balloon Text CharCJOJQJ^JaJPK!pO[Content_Types].xmlj0Eжr(΢]yl#!MB;.n̨̽\A1&ҫ QWKvUbOX#&1`RT9<l#$>r `С-;c=1g'}ʅ$I1Ê9cY<;*v7'aE\h>=,*8;*4?±ԉoAߤ>82*<")QHxK |]Zz)ӁMSm@\&>!7;ɱʋ3װ1OC5VD Xa?p S4[NS28;Y[꫙,T1|n;+/ʕj\\,E:! t4.T̡ e1 }; [z^pl@ok0e g@GGHPXNT,مde|*YdT\Y䀰+(T7$ow2缂#G֛ʥ?q NK-/M,WgxFV/FQⷶO&ecx\QLW@H!+{[|{!KAi `cm2iU|Y+ ި [[vxrNE3pmR =Y04,!&0+WC܃@oOS2'Sٮ05$ɤ]pm3Ft GɄ-!y"ӉV . `עv,O.%вKasSƭvMz`3{9+e@eՔLy7W_XtlPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!pO[Content_Types].xmlPK-!֧6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!!Z!theme/theme/theme1.xmlPK-! ѐ'( theme/theme/_rels/themeManager.xml.relsPK]# T0_ 'T2T^ Hd  TXtXX4X48@0( G( B S  ?~=FVELFV::ip)3R8^`CJOJQJo( ^`OJQJo(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o PP^P`OJQJo(ip)3v        _"LUrKTV@Tx@UnknownG*Ax Times New Roman5Symbol3 *Cx Arial7@ Calibri5 Tahoma? *Cx Courier New;WingdingsACambria Math qhF{ *{ *!``24IINC#HP 7'82 ,2004 AWARD NOMINATION FORMngijol John Vasko  Oh+'0  , P \ h t'2004 AWARD NOMINATION FORMngijol Normal.dotm John Vasko2Microsoft Macintosh Word@F#@._i@bs@bs{ ՜.+,D՜.+,H hp|  '* I 2004 AWARD NOMINATION FORM Title8 8@ _PID_HLINKS'AT  http://www.aiche.org/awardsT http://www.aiche.org/awardsT http://www.aiche.org/awardsR9http://www.aiche.org/About/Awards/InstituteandBoard.aspx  !"#$%'()*+,-./012345789:;<=?@ABCDEHRoot Entry F~bsJData r1Table&QWordDocument40SummaryInformation(6DocumentSummaryInformation8>CompObj` F Microsoft Word 97-2004 DocumentNB6WWord.Document.8