NOMINATION FOR IES FELLOW

Before completing this form, please carefully read the IES Guidelines for Fellow Grade Nomination which is located at the IES website at http://www.ies.org/programs/a-fellow.cfm

All information must be typewritten and submission limited to this form.

1. NAME OF CANDIDATE ______Last, First, Middle PRESENT OCCUPATION ______

BUSINESS ADDRESS ______

______ZIP CODE______

HOME ADDRESS ______

______ZIP CODE______

IES MEMBERSHIP GRADE______

2. EDUCATION (most current degree first) Education Institution Location Date Degree

3. PROPOSED CITATION (not more than fifty(50) words)

4. CHIEF PROPOSER

Name______Date______() Name______IES Grade______(Please Print) Address______

______

Telephone ______Email: ______

Page 1 of 4

NOMINATION FOR IES FELLOW AWARD Page 2 of 4

NAME OF CANDIDATE______

5. PROFESSIONAL HISTORY (Current position first. Limit copy to this page)

From year to year Name of Company Position & Responsibilities

6. INDIVIDUAL CONTIRBUTIONS (Limit copy to space provided)

A. Identify the most significant contribution which qualifies the candidate for Fellow grade and describe.

__Engineer/Scientist __Lighting Designer __Product Designer __Educator

Explain why the contribution is significant and why it indicates outstanding individual performance.

B. Other individual contributions are. NOMINATION FOR IES FELLOW AWARD Page 3 of 4

NAME OF CANDIDATE______

7. EVIDENCE OF ACCOMPLISHMENT

A. List the three most important items of tangible and verifiable evidence of technical, lighting design, product design, educational) accomplishment such as reports, publications, patents, development of products, design concepts and applications, and educational advances. State the significance of each. (Limit copy to the space provided). The three most important items of evidence, and their significance, are:

B. List five (5) additional items of tangible evidence and identify, if possible, their significance.

8. IES ACTIVITIES – , OFFICES HELD, COMMITTEE MEMBERSHIPS NOMINATION FOR IES FELLOW AWARD Page 4 of 4

NAME OF CANDIDATE______

9. NON-IES PROFESSIONAL ACTIVITIES-AWARDS, PROFESSIONAL SOCIETY MEMBERSHIPS, MAJOR PROFESSIONAL, GOVERNMENT OR INTERNATIONAL COMMITTEE MEMBERSHIPS, PROFESSIONAL LICENSE

10. IES MEMBER GRADE PROPOSERS (Three required, at least one must be an IES Fellow). PLEASE USE THE FELLOW PROPOSER FORM. IT IS LOCATED AT THE END OF THIS FELLOW NOMINATION FORM.

Name Affiliation Address Telephone

11. LIST OF REFERENCES (Three required, at least one must be an IES Fellow) NO OFFICIAL FORM. PLEASE WRITE A LETTER OF REFERENCE.

Name Affiliation Address Telephone

Submit Completed Nomination Form, Proposer Forms and Reference Letters by March 1 to:

Illuminating Engineering Society of Membership Department 120 Wall Street, 17th Floor New York, NY 10005

NOTE: A BLANK FELLOW PROPOSER FORM FOLLOWS AS THE LAST PAGE OF THIS FORM

Questions? Contact Anastasia DeLeon at IES. Phone: 212-248-5000 ext 101. or email [email protected] PROPOSER FORM – Fellow Grade IES

Proposer: You have been named to serve as a PROPOSER for the candidate noted below. The name of the Chief Proposer is also noted below. Please complete the information confined to the space on this form. This form along with the Fellow Nomination Form and reference letters will be provided to the Board of Fellows for consideration of the candidate.

NAME OF CANDIDATE ______Last, First, Middle

NAME OF CHIEF PROPOSER ______Last, First, Middle

NAME OF PROPOSER ______Last, First, Middle

The qualifications for Fellow grade are described on the IES website at http://www.ies.org/programs/a-fellow.cfm

Note, that the work and contribution of a Fellow grade Member must be outstanding.

A. If you are not qualified to judge the work of the candidate, please check here and do not judge or rate the candidate. ______

B. On the basis of the work of the candidate, which you are competent to judge, please indicate why, in your judgment, the candidate meets the requirement for Fellow grade. What distinguishes this contribution from the norm?

C. CHECK ONE: Identifying the area of the most significant contribution which qualifies the candidate for Fellow grade:

____Engineer/Scientist ___Lighting Designer ___Product Designer ____Educator

INDICATE BY AN “X” On the horizontal scale below where the individual contributions of the nominee fall in the qualification for Fellow grade Qualified Extraordinary Highly with Minor Not Yet Qualified Qualified Qualified Reservations Qualified 10 9 8 7 6 5 4 3 2 1 0

D. Please furnish any other additional data not appearing on the Nomination Form that you feel will be helpful to the Board of Fellows.

E. ______Proposer Signature Print Name IES Member #/Grade

Address: ______Address City/State/Zip Code

Phone: ______Email: ______DATE: ______

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