(Note:  This is a "SECTION" Award.)

1. Section Name: _____________________________   2. Area: ____________

3. Section Chair: ____________________________________________________   

   IEEE #: _____________________  IEEE Membership Grade: _____________

   ADDRESS: __________________________________________________________

   ___________________________________________________________________

   E-mail: ___________________________________________________________

4. Section PACE Chair: _______________________________________________   

   IEEE #: _____________________  IEEE Membership Grade: _____________

   ADDRESS: __________________________________________________________

   ___________________________________________________________________

   E-mail: ___________________________________________________________


5.  PACE Committee Business Meeting Schedule for the past year:
     DATES                   LOCATIONS                       COMMENTS

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________


6.  Major PACE Section Meeting during the past year  (Attach copies of L-31's):  
     DATES                   LOCATIONS                       COMMENTS

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________

     ___________  ____________________________  __________________________________


7.  Active IEEE-USA Programs within the past year:

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________


8.  Local PACE Programs within the past year:

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________

9.  Detail here, or by attachment, why this Section should be cited 
and for what specific reason. Please include PACE goals which were 
programmed to be achieved and indicate how those goals were 
accomplished in an outstanding manner. (Other " excellence" areas 
and activities of the Section may be noted here briefly for overall 
Section support. Use additional sheets and attach supporting 
documentation  as required.):

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________

   __________________________________________________________________


10.  Names of Endorsers (Letters of endorsement may be submitted separately): 

    Name: _______________________________________ IEEE #: _________

    Address: ______________________________________________________

    Telephone #: ______________________ Fax #: _______________________

    Name: _______________________________________ IEEE #: _________

    Address: ______________________________________________________

    Telephone #: ______________________ Fax #: _______________________

    Name: _______________________________________ IEEE #: _________

    Address: ______________________________________________________

    Telephone #: ______________________ Fax #: _______________________

11.  Nominator (Sponsor):

    Name: _______________________________________ IEEE #: _________

    Address: ______________________________________________________

    Telephone #: ______________________ Fax #: _______________________

    IEEE Position or Title: __________________________________________

    E-mail: __________________________________________________________

    Signature: _______________________________________  Date: _________