2. Name of Award

3. Nominee's primary employment position and Institution

Title
Institution
Address
Phone
Email

4. Education

List all degrees earned, dates, major fields and institutions:

5. Technical Area

6. Accomplishments

Specific outstanding technical and professional engineering accomplishments and contributions meriting the Award:

7. Impact of Work

Impact of work (technical, commercial, national, etc.) cited in item 6:

8. Professional Work Experience

Record of professional work experience (list principal positions and describe primary responsibilities for each; include dates):

9. Memberships

Principal technical society memberships (including grades) and activities; important offices held and contributions to the Society for Experimental Mechanics; noteworthy pertinent accomplishments in engineering. Nominations for the Tatnall award for service to SEM should state all accomplishments here.

10. Recognition

Professional recognition (honors, awards, prizes, honorary degrees, etc.; give name of award and date):

11. Contributions

Contributions of record related to the criteria for the Award (list complete citations, including all authors for five publications with the most significant impact.)

a
b
c
d
e

12. Summary

Refereed journal articles
Patents
Books
Book chapters
Conf. proceedings
Other publications
Other contributions of record (explain).

13. Proposed citation

(Not more than 20 carefully edited words that reflect specific documented contributions):

14. References

I have obtained personally from each individual listed as a reference an indication of willingness to serve in that capacity. (Note: References may be active or retired SEM members.)

		Name		Affiliation
1
2
3

15. Nominator:

(Note: Nominator must be an active SEM member.)

Name
Affiliation
Phone
Email (required)
Please copy the number 3621996 into the box to the right.