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IEEE Education Society 2022
Distinguished Chapter Leadership Award 
Nomination Reference Letter Form

The deadline to submit reference letters is 1 June 2022. 

Instructions for References: 

Please complete the following awards nomination reference form honestly and to the best of your ability. 

Name of the person nominated for the award.
The person who submitted the award nomination.
Email address of the person who submitted the award nomination.
The Distinguished Chapter Leadership Award is given to recognize a Society member who has, over a sustained period of time, made an exceptional contribution to the Society, which has manifested itself at a local Chapter.
0-20: Not yet qualified
21-40: Marginally qualified
41-60: Qualified
61-80: Highly qualified
81-100: Extraordinarily qualified

Reference Contact Information and Electronic Signature

Completion of this section and submission of this form will serve as an electronic signature indicating that this form was completed truthfully and to the best of your ability. 

Reference Contact Information:
If you are not an IEEE Member please answer N/A