NOMINATION FOR MEMBERSHIP IN COMMISSION F OF USNC/URSI

(Note: Nominees must be citizens or permanent residents of the U.S.)

Date:

Please fill in data for items 1 to 6 for both the nominee and the sponsor:

1. Name:

2. Address:

3. Phone:

4. Fax:

5. e-mail:

6. Affiliation:

(Use added sheets as necessary for the following.)

7. Undergraduate Education:

8. Graduate Education:

9. Subsequent relevant honors, memberships, awards, etc.:

10. Nominee's experience (Outline employment since graduation with an indication of the level of work and degree of responsibility.):

11. Outline nominee's past and continuing significant research:

12. List nominee's principal relevant publications in refereed journals during the last five years (For conference talks and publications, mark an URSI (non-F) presentation with U, a Commission F presentation with F, sole authorship of a publication with S, principal authorship with P, and joint authorship with J.):

Sole author of:

Principal author of:

Joint author of:

13. Four or five word description of present work as related to Commission F:

14. List of nominee's oral presentations and other activities in Commission F:

15. Please send nomination to the current Commission F Chair: