AAAI Fellows Nomination Form
Please type information on the front of the form provided, or use your own form with information in the same order. Electronic submissions should be plain text only (e.g. no LaTeX). Please send completed form to the Fellows Selection Committee:
- 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
Deadline: February 15, 2008.
This Form is available in other formats: PDF version | Text version | Word version
- Candidate Name and Location
- Name (first, middle initial,
last):
- Address:
- City:
- State:
- Zip or Postal Code:
- Country:
- Telephone:
- Fax:
- Email:
- Education
- Highest Degree Received:
- Field:
- Institution:
- Date:
- Record of Professional Experience
- (List of principal positions held and dates, please briefly describe primary responsibilities for each position)
- Position:
- Dates:
- Responsibilities:
- Position:
- Dates:
- Responsibilities:
- Position:
- Dates:
- Responsibilities:
- Position:
- Dates:
- Responsibilities:
- Professional Recognition
- (Honors, awards, prizes):
- Contributions of Record
- (List of 5-10 significant publications, patents, or other contributions):
- Principal AAAI Activities and Other Noteworthy Pertinent Public Services
- (Boards, committees,
etc.):
- Proposed Citation--to appear on the Fellows Certificate
- (Citation should begin "For significant contributions to ..." followed by a phrase of not more than 20 carefully edited words that reflect specific documented contributions; e.g. for significant contributions to the field of xxx reasoning, and development of the widely used yyy and zzz algorithms):
- References
- At least one of these references or the
nominator must be a current AAAI Fellow. Nominator has obtained from each individual listed as a reference an indication of willingness to serve in that
capacity.
- Nominator Name:
- Address:
- City:
- State:
- Zip or Postal Code:
- Country:
- Email:
- Reference Name:
- Address:
- City:
- State:
- Zip or Postal Code:
- Country:
- Email:
- Reference Name:
- Address:
- City:
- State:
- Zip or Postal Code:
- Country:
- Email:
Reference Form
Nominators and each reference should also complete the reference form.