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

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

<p> AAWRE Diplomate Nomination/Election Process for Honorary Practitioners </p><p>Nomination Form for Honorary Diplomate (Hon.D.WRE)</p><p>NOMINEE PERSONAL INFORMATION</p><p>Prefix First Name M.I.</p><p>Last Name Suffix</p><p>NOMINEE ORGANIZATION OR RESIDENCE CONTACT INFORMATION</p><p>______Job Title</p><p>Organization Name</p><p>Organization/Residence Street Address (Line 1)</p><p>Organization/Residence Street Address (Line 2)</p><p>City State/Province Country</p><p>Postal Code</p><p>Organization/Residence Telephone Organization/Residence E-mail</p><p>NOMINEE PROFESSIONAL LICENSURE (**If Applicable – Honorary nominee does not have to be a P.E.)</p><p>Page 1 of 2 – May 2014 AAWRE Diplomate Nomination/Election Process for Honorary Practitioners </p><p>State License Number</p><p>NOMINEE EDUCATION AND PROFESSIONAL EXPERIENCE</p><p>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.</p><p>NOMINEE PROFESSIONAL CONTRIBUTION</p><p>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:</p><p> o Qualifying education and licensure o Length and quality of experience o Ethics, and o Significant professional contributions.</p><p>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.</p><p>NOMINATING STATEMENT</p><p>PROFESSIONAL ETHICS</p><p>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.</p><p>SUBMITTED BY: (may be submitted by Trustee, Diplomate, or Individual)</p><p>Nominating Trustee Signature Date</p><p>Nominating Trustee Name</p><p>Page 2 of 2 – May 2014 AAWRE Diplomate Nomination/Election Process for Honorary Practitioners </p><p>/ (sign here: ______Name of Person OR Diplomate Recommending Honorary Nominee (if applicable)</p><p>Page 3 of 2 – May 2014</p>

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