Grade of Fellow

GRADE OF FELLOW

(Nomination due by April 15)

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ASABE: The Society for Engineering in Agricultural, Food and Biological Systems

NOMINATION FORM

P R I V I L E G E D I N F O R M A T I O N

Note: This signed form, along with the signed 6 to 8 letters of support will provide the only information used for the evaluation of your candidate. The form must be completed in a maximum of 4-typewritten pages (10 pt. font or larger).

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1 Candidate Name (first name, middle name or initial, last name), Address, Phone Number, E-mail Address and Years of ASABE Membership:

2 Primary Employment Position and Institution/Company:

3 Citizen of (name of country):

4 Education (list all degrees earned, dates, major fields, and institutions):

5 Registered Engineer (list states):

6 Areas of Specialization:

7 Specific Outstanding Technical and Professional Accomplishments and Contributions Meriting Election to the Grade of Fellow. Note a Fellow nominee should have active participation in the Society over a sustained period. Examples:

1  Publication of important, original engineering or engineering-related papers, books or inventions

2  Technical direction with evidence of accomplishment of important engineering or engineering-related work

3  Creative contributions to the advancement of the profession

4  Establishment or furtherance of important engineering or engineering-related courses or significant contributions to engineering or engineering-related extension

5  Organizational or technical leadership which has motivated or developed the application of engineering or engineering-related principles

6  Significant contributions in other areas such as technical editing, development of standards, or leadership in other activities of the Society.

Describe the impact of the work locally, nationally and internationally in areas such as the economy, industry, education or practice.

(Please include dates and limit to a maximum of 600 words)

8 Record of Professional Work Experience (list principal positions and describe primary

responsibilities for each; include dates):

9 Contributions of Record

Contributions related to publications: brief description of up to 10 of the most significant published contributions, including books, book chapters, conference proceedings, refereed journal articles, patents, other publications. (list complete title, all authors, source, and date for a maximum of ten (10) publications of most significant impact)

And/or

Contributions related to solutions: categorized as appropriate -- i.e., products designed, guides developed, engineering projects completed, standards developed, etc. (give brief description of up to ten (10) most significant contributions)

10 Principal Technical Society Membership (including grades) and Activities, and Other Noteworthy Pertinent Accomplishments in Engineering, Technical Editing, Engineering Standards Development and Public Service (boards, committees, consultantships, important offices

held and contributions to society):

11 Professional Recognition (honors, awards, prizes, honorary degrees; give specifics):

12 Proposed Citation (include no more than 20 carefully edited words that reflect specific

documented contributions):

Nominated by:
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Signature required / *References – List a minimum of six (6) up to a
maximum of eight (8) references. Six (6) of these references must be ASABE members. All references must submit signed individual letters of support.
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Name (typed) / 1. ______
Name Work Affiliation
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E-mail address / 2. ______
Name Work Affiliation
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Affiliation and telephone number / 3. ______
Name Work Affiliation
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Mailing Address / 4. ______
Name Work Affiliation
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City, State, Zip Code, Country / 5. ______
Name Work Affiliation
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Date / 6. ______
Name Work Affiliation
* Note: Refer to GRADE OF FELLOW Nomination Instructions for information on Letters of Support. / 7. ______
Name Work Affiliation
8. ______
Name Work Affiliation

C: ASABE Fellow Nomination Form – April 2007