2012 Premier Award Submission Form

Please complete this submission form in addition to submitting the electronic and paper copies of your submission documentation as described on: http://engineeringpathway.com/engpath/ep/premier/2012/submission.jsp

This submission form consists of two pages. We encourage you to collect all of the required information before starting to fill out the form.

Page 1: Submitter and Courseware Information
Page 2: Submitter's Dean and Department Chair Information (names, email addresses and mailing addresses)

    Submitter Information

    Please enter the information for the submitter. We will address all correspondence with the submitter.
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    Courseware Information

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