Nominee: ______

ASCE GEORGIA SECTION

2016-2017 Georgia Civil Engineer of the Year Awards

August 25, 2017

NOMINATION FORM

SUBMITTAL DEADLINE May 26, 2017

(PLEASE TYPE OR PRINT)

  1. Qualifications:
  1. Nominee for Georgia Civil Engineer of the Year must be a licensed Professional Engineer, must be an ASCE member, and must be a member of good standing with the ASCE Georgia Section.
  2. Nominee for Georgia Younger Civil Engineer of the Year must be an ASCE member and must be a member of good standing with the ASCE Georgia Section. Registration as a licensed Professional Engineer is not required.
  3. For both awards, Nominee’s primary place of employment must be in Georgia, and nominee must be a resident of the state. Nominee must be engaged in the practice of Civil Engineering in planning, design, construction, research, education, development, management, surveying, or related Civil Engineering work.
  1. Nominee

Nominee's Name: ______

(Last) (First) (M.I.)

Award for which member is nominated:

Civil Engineer of the Year Category:

______Civil Engineer of the Year

______Young Civil Engineer (YCE) of the Year

Birthdate (YCE only): ____/____/____ (Must be 35 years of age or less on May 26, 2017)

ASCE Member Number: Yes/No Dues paying member of Georgia Section: Yes/No

Company Name: ______Title: ______

Work Address: ______

Home Address:______

Primary Area of Civil Engineering Practice: ______

Georgia Registration Number: ______Expires: ______

First Year Registered: ______

  1. Nomination Criteria

The following sections present the award nomination criteria that will be considered. The information can be typed and submitted as attachments to this form, or the information can be entered electronically, lengthening the form as needed.

1.Education: List Degree, Field, Institution, and Date for each post High School degree earned. Note if degree was pursued but not completed (10 Points).

2.ASCE Involvement: ASCE activities during the past five years, including offices held and awards (10 Points).

3.Professional/Technical Society Involvement: Other professional/technical society activities during the past five years, including offices held and awards (10 Points).

4. Civic and Humanitarian Organization Involvement: Civic and humanitarian organization activities in Georgia during the past five years, including positions held (10 Points).

5. Publications: List of Articles Published or Technical Presentations presented during the past five years. Include article and publication titles, date, and publisher information for articles or books, and presentation title, location(s) presented, and number of times presented (10 Points).

6. Engineering Achievements: Submit narrative supporting nominee’s project achievements (40 Points).

7. Endorsement: Minimum of one and maximum of three letters of endorsement from peers and fellow engineers with specific first hand knowledge of the nominee's engineering accomplishments (10 Points).

8.Professional Registration in Other States: List registration type for each state and year first registered (Bonus, 5 points maximum).

  1. Additional Requirements:
  1. A statement of 100 words maximum (one page, double spaced) that supports the nomination showing achievement in Civil Engineering. Statement will include description of awards received in recognition of Civil Engineering accomplishments.

NOTE: The statements of the nominees selected for the 2017 Georgia Civil Engineer of the Year Awards will be printed in the Awards Banquet program.

  1. A nomination signed by an Officer of the nominee’s employer (or a client if self-employed), which includes company address in Georgia and telephone number.
  1. A resume would be helpful to the judges but is not obligatory.
  1. NOTE: A photograph will be required from the winning nominees.
  1. Name and address of a local newspaper.
  1. Submittal Requirements

Submittal Deadline: May 26, 2017

Send thecompleted form to the following address:

ASCE Georgia Section

C/O Patterson & Dewar Engineers, Inc.

850 Center Way

Norcross GA, 30071

Attn: Anita Atkinson

OR EMAIL TO:

  1. Award Presentation

Award winners will be contacted in August 2017.

Awards will be presented at the annual banquet on August 25,2017.

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