Fellow Award Nomination
ASSE International
18927 Hickory Creek Drive, Suite 220• Mokena, Illinois 60647
Tel: (708) 8995-3019 • Fax: (708) 479-34886139 • E-Mail: general.info@asse-plumbing.org
In order to assist the chapters in screening their candidates, this brief questionnaire should be completed for
each candidate proposed. If the candidate proposed does not meet all of the requirements, he/she should NOT
be proposed as a candidate.
1.
Has the candidate been a dues-paying member in good standing for a minimum of five years?
Yes
2.
No
Has the candidate served at the chapter level in an exemplary manner as an officer, director or an
active committee person for a period of at least five years?
Yes
No
Office(s) Held:
Committee(s) held:
Most Noteworthy Chapter Achievements:
3.
Has the candidate served at the national level in an exemplary manner as an officer, director or
an active committee person for a period of at least two years?
Yes
Office(s) Held:
Committee(s) held:
Most Noteworthy National Achievements:
No
FOR COMMITTEE USE ONLY
Approve
Disapprove
Abstain
Comments:
Committee Member:
Signature:
Date: