AFCEA Education Foundation Nomination for the ROTC Honor Award

AFCEA Education Foundation Nomination for the ROTC Honor Award


IMPORTANT: Nomination must be received 20 days prior to the presentation date.
 
* Indicates a Required Field
  
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Nominee Title:  
 
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Nominee First Name:  
 
 
Middle Initial:  
 
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Nominee Last Name:  
 
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College/University Nominee Attends  
 
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College/University where Nominee attends ROTC  
 
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Branch of Service of nominee  
 
 
Nominee must currently be enrolled in junior year. Students receiving the ROTC Honor Certificate Award must be U.S. citizens and juniors preparing to enter their senior year (rising seniors) who are majoring in electronics, electrical, aerospace, or communications engineering, mathematics, physics, computer science or technology, information management systems or related technical disciplines. Nominees should demonstrate high academic achievement.  
   
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Current Junior Academic Status?  
 
Yes No 
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Date of presentation (MM/DD/YYYY)
 
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Time of presentation  
 
 
Would you like an AFCEA representative to present this award if one is available?  
 
Yes No 
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Point of Contact's Title (ex: Dr., Mrs., Captain, Lieutenant, etc.)  
 
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Point of Contact First and Last Name (This person will answer any questions we may have and will receive the Honor Award Certificate.)
 
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Point of Contact Street Address, City, State, Zipcode  
 
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POC University  
 
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Point of Contact's Mailing address, Attn: Department of...  
 
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Point of Contact telephone number  
 
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Point of Contact email  
 
 
For questions, please contact Amanda Goehring at (703) 631-6147 or edfoundation@afcea.org