IEEE IAS Chapter and Membership Department

Distinguish Lecturer Nomination Form for the DL program 2019-2020

Nominator:
- First and family name:
- IEEE membership number:
- IEEE membership grade (Regular, Senior, Fellow)
- Country of residence:
- Institution:
- Position
- e-mail address:
- Reason of the nomination (~100 characters)

Candidate:
- First and family name:
- IEEE membership number:
- IEEE membership grade (Senior, Fellow)
- Country of residence:
- Institution:
- Position
- e-mail address
- Main fields of expertise: (~200 characters)

Please, complete the personal information requested above and send the form to Dr. Tamás
Ruzsányi IAS CMD DL&PL Program Committee Chair <tamas.ruzsanyi@ieee.org> with
the following documents by March 31st, 2018:
- One page BIO of the Candidate with a colour photo in the upper left corner and contact
email address
- List of the lecture topics with the titles and short abstracts ( max. 600 characters each)

For more information please, visit the IEEE IAS CMD website
http://ias.ieee.org/chapters-membership/distinguished-lecturer-program.html