Volunteer Award Nomination Form

This form should be used to nominate an IEEE member for a United Kingdom and Ireland Section Volunteer Recognition Award.

1. Candidate Information

2. Nominator Information

3. Supporters (please list at least three members of the Section supporting this nomination)

3.1 Supporter 1

3.2 Supporter 2

3.3 Supporter 3

3.4 Additional Supporter Details (optional)