Nomination Form
UPS Minority Advancement Award
To submit the nomination via e-mail, please complete this form and e-mail it as an attachment to
Honors@iienet.org.
If you can’t submit the nomination via e-mail, complete this form and submit it by mail,
postmarked by Dec. 1. Nominations sent by mail must include a total of eight copies of this
completed form. For either method of submission, do not attach published articles.
Mail to:
IIE Honors & Awards
c/o Office of the President
3577 Parkway Lane, Suite 200
Norcross, GA 30092
Questions? Call (770) 449-0461, ext. 105.
Nominee information
Name:
Address:
City, State, ZIP:
Work phone:
Home phone:
Fax number:
E-mail:
Date of birth:
Current position:
Required data

Describe the methods employed to implement or propagate the program.

Describe the leadership and promotion of awareness that led to the nominee’s achievement.
The source of any funding (awards, grants, etc.) should be included.

Describe the specific value of the accomplishment: the benefits derived from the
achievements and who received such benefits. Quantitative and qualitative measurements
should be included.

Describe any recognition previously afforded the nominee for this achievement.
Nominator information
Note: Members of the IIE Board of Trustees, the Honors Steering Committee, those involved in
processing (such as the Director of Honors) or any headquarters staff member may not be used
as a nominator.
Name:
Address:
City, State, ZIP:
Work phone:
Home phone:
Fax number:
E-mail: