Teachers: If you would like to recognize female students who have made significant achievements in math and/or science this year in a special way, the Society of Women Engineers, Chicago Regional Section (SWE-CRS) would like to help! We will send to you a Certificate of Merit for a student categorized as either Highest Honor, High Honor, and Honor. If desired, a SWE-CRS member can present the certificate to the student during the school's honor ceremony.

Please return this form by May 1, 2004 to:

Anne Lucietto SWE-CRS Career Guidance
P.O. Box 309
Yorkville, IL 60560
630-840-8769 (fax)
swecrscg@yahoo.com

The certificates should be returned to:

Name_________________________________ Email Address: ______________

Title______________________________________________________________

School____________________________________________________________

Address___________________________________________________________

State, ZIP__________________________________________________________

Phone_____________________________________________________________

Signed____________________________________________________________



DESIGNATION OF AWARD RECIPIENTS

HIGHEST HONOR

Name___________________________________________________________________

HIGH HONOR

Name ___________________________________________________________________

HONOR

Name ___________________________________________________________________

Please list any special requests on the reverse of this form.



AWARDS CEREMONY INFORMATION Date __________________

(information needed for certificate inscription) Time __________________

Would you like a SWE member to present the award at the ceremony? Yes ___ No ___