Nomination Form for Honorary Diplomate (Hon.D.WRE)

AAWRE Diplomate Nomination/Election Process for Honorary Practitioners

NOMINEE PERSONAL INFORMATION

Prefix First Name M.I.

Last Name Suffix

NOMINEE ORGANIZATION OR RESIDENCE CONTACT INFORMATION

______Job Title

Organization Name

Organization/Residence Street Address (Line 1)

Organization/Residence Street Address (Line 2)

City State/Province Country

Postal Code

Organization/Residence Telephone Organization/Residence E-mail

NOMINEE PROFESSIONAL LICENSURE (**If Applicable – Honorary nominee does not have to be a P.E.)

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State License Number

NOMINEE EDUCATION AND PROFESSIONAL EXPERIENCE

Nominating individual must attach a current resume/CV detailing the nominee’s education and professional experience. If possible, information on professional publications, professional/technical organization membership, awards, publications, and any other information that could assist the Eminence Committee and the AAWRE Board of Trustees in verifying fulfillment of the Diplomate requirements should be included. Summarize in this space (up to one page), the essence elements of the nominee’s education and professional experience.

NOMINEE PROFESSIONAL CONTRIBUTION

Nominating Trustee must include here, a summary statement of why the nominee should be considered for the Honorary Status. The summary statement should be no more than 2 pages and address the important issues of:

o Qualifying education and licensure o Length and quality of experience o Ethics, and o Significant professional contributions.

Include explanations for items not clearly evident in CV or other nomination materials such as: Education if no degrees past the bachelor’s, licensure if granted by other than a U.S. state or territory, and experience if breaks are evident, or questions that are likely regarding the nature of experience. If the nomination is based on a recommendation of others to the nominating Trustee, include such information in this statement and attach recommendation letter with associated information about the person making recommendation.

NOMINATING STATEMENT

PROFESSIONAL ETHICS

Nominating Trustee attests that the nominee is respected by their professional peers and is willing to ascribe to the American Academy of Water Resources Engineers Code of Ethics.

SUBMITTED BY: (may be submitted by Trustee, Diplomate, or Individual)

Nominating Trustee Signature Date

Nominating Trustee Name

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/ (sign here: ______Name of Person OR Diplomate Recommending Honorary Nominee (if applicable)

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