Engineer of The Year Nomination

Please fill out the form below to nominate an engineer for the 2017 Michael Hicks Memorial Engineer of the Year Award.

All nominated engineers must be a member of AlaSHE

2017 Michael Hicks Memorial Engineer of The Year Nomination Form

Your Name

Your Email

Your Phone Number

Engineer You Are Nominating

Engineer Hospital

Please provide as much information as possible on your nominee

Please enter the correct letters and numbers shown below