Reviewer list template

Template to be used for Submitting Outside Reviewers With Milestone Proposal

(please email to the History Staff Milestone Administrator at ieee-history@ieee.org. Do not post names of reviewers to ETHW)

MILESTONE PROPOSERS ARE NOT TO CONTACT REVIEWERS DIRECTLY

This is a list of suggested outside reviewers for Milestone proposal: NAME OF PROPOSAL: ____________________________

DOCKET NUMBER OF PROPOSAL: ___________________

REVIEWER 1 NAME:

REVIEWER 1 EMAIL:

REVIEWER 1 PROFESSIONAL OR ACADEMIC AFFILIATION:


REVIEWER 2 NAME:

REVIEWER 2 EMAIL:

REVIEWER 2 PROFESSIONAL OR ACADEMIC AFFILIATION:


REVIEWER 3 NAME:

REVIEWER 3 EMAIL:

REVIEWER 3 PROFESSIONAL OR ACADEMIC AFFILIATION:


REVIEWER 4 NAME:

REVIEWER 4 EMAIL:

REVIEWER 3 PROFESSIONAL OR ACADEMIC AFFILIATION:

By submitting this list of suggested reviewers, I/we affirm to the best of my/our knowledge that none of the suggested reviewers have conflict of interests, have worked for a company or a team involved in the achievement being proposed, have published with the proposer(s), nor had a project related to the achievement funded. I understand also that the advocate for the proposal may accept or decline the suggested reviewers, and may select alternative reviewers at the advocate's discretion.

NAME(S) OF PROPOSER(S) SUBMITTING THE SUGGESTED REVIEWERS: ______________________________________________ (At least one of the proposers submitting this list must be an IEEE Member)

Email this form to the IEEE History Center Milestones Program Administrator at ieee-history@ieee.org

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