AAAI Distinguished Service Award Nomination Form

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AAAI Distinguished Service Award

Nomination Form

Due: March 15, 2008

Candidate Name and Location (must be a current member of AAAI)

Name (first, middle initial, last):

Address:

City:

State:

Zip or Postal Code:

Country:

Telephone:

Fax:

Email Address:


Record of Service

List principal positions of service to AAAI or the AI community, and briefly describe primary responsibilities for each position. Examples of service positions include society service, service as an editor, conference organization, representation of AI in other organizations (such as CRA, ACM, or IEEE), or influential service as a government agency contract monitor or program director, resulting in positive effects on the field of AI.

Position:

Dates:

Responsibilities:

 

Position:

Dates:

Responsibilities:

 

Position:

Dates:

Responsibilities:

 

Position:

Dates:

Responsibilities:

 

Position:

Dates:

Responsibilities:

 

Proposed Citation (to appear on the award certificate -- citation should begin "For contributions to the field of artificial intelligence through sustained service ..." followed by a phrase of not more than 20 carefully edited words that reflect this candidate's demonstrated service to the community):

 

 

 

 

References

At least one additional letter of support is required. Nominator has obtained an indication of willingness to serve from each individual listed as a reference below.

Reference Name:

Address:

City:

State:

Zip or Postal Code:

Country:

Email:

Signature:

Date:

 

Nominator

Nominator Name:

Address:

City:

State:

Zip or Postal Code:

Country:

Email:

Signature:

Date:

Please submit your completed form by March 15, 2007 to AAAI Distinguished Service Award:

  • Association for the Advancement of Artificial Intelligence
    445 Burgess Drive
    Suite 100
    Menlo Park, California 94025
    USA
    Telephone: 650-328-3123
    Fax: 650-321-4457
    E-mail: info08@aaai.org

AAAI Awards

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