NOMINATION FOR DISTINGUISHED MEMBERSHIP

Date Submitted: ______
1. / Full Name of Nominee: / ______
(include credentials, including membership grade; e.g. Ph.D., P.E., M.ASCE, NAE)
Current Position: / ______
If elected, he/she will be notified by telephone. Please be sure to provide correct home and office contact information:
Home Address: / ______
Home Phone: / ______/ Cell Phone: / ______
Office Address: / ______
Office Phone: / ______/ Fax: / ______
Email: / ______
Is Nominee a Society Member? / ___ Yes / ___ No
Is Nominee a Professional Engineer? / ___ Yes / ___ No
2. / An ASCE Distinguished Member is a person who has attained acknowledged eminence in some
some branch of engineering or in its related arts and sciences. To help the selection committee appreciate the worthiness of your candidate, please describe their contributions/ accomplishments. These achievements can be to the Civil Engineering profession or to the public in general. Please limit your response to fewer than 200 words.
3. / Reflecting on your response to Question 2 above, please describe the impact of your candidate’s contributions/accomplishments. Please limit your response to fewer than 200 words.
4. / Citation: One or two sentences, 40 words or less, describing or summarizing the nominee’s
contributions and/or eminence. The citation must be supported by the rationale statement.
5. / Submitted By: / ______
(Signature)
Print Nominator’s Name: / ______
(include credentials, including member grade; e.g. Ph.D., P.E., F.ASCE)
Address: / ______
______
Phone: / ______/ ASCE Member #: / ______
On behalf of ______(Organizational Entity*)

Signature of a chair, President or other defined leader of the Entity

*Organizational Entities are defined in the Constitution as Committees, Institutes, Academies, Geographic Units, Foundations, Affiliated Societies and other society units defined by the Board in the Bylaws.

Assemble the necessary elements of the package in the following order:

1.  Official nominator’s cover letter

2.  Nomination form, signed by the official nominator

3.  Citation/rationale statement

4.  One-page summarized biography

5.  Complete biography

Submit one original as single-sided sheets, bound by paperclip. No staples, please.

DEADLINE: October 1st

Send your complete nomination package to:

Jane Moran Alspach, Senior Manager

Honors and Awards

American Society of Civil Engineers

1801 Alexander Bell Drive

Reston, VA 20191-4400

This form is also available on the Web. To download it as a Word document go to www.asce.org/awards.