Please complete the form below to nominate a Designated Design-Build Professional™ for DBIA Fellow Status. The deadline for the Fellow candidate to submit their complete nomination package is July 5, 2022. As a nominator you must hold a DBIA leadership role from one of the following entities: National DBIA Leadership Positions Include Current Members of the DBIA National Board of Directors Current DBIA National Committee, Subcommittee and Task Force Chairs* Current Members of the Design-Build Certification Board * With the exception of the Transportation/Aviation and Water/Wastewater Conference Planning Committees. Region Region Leadership Positions Include Current Members of the Region Board of Directors Current Region Committee Chairs Other Other DBIA Leadership Includes Primary Contacts of Industry Partner Firms where the firm has a minimum of ten continuous years of Industry Partner membership in DBIA DBIA Approved Instructors for 5 years or more Please ensure your Fellows nominee meets the following requirements before submitting this form. Nominees MUST have the following to be considered: 10 years continuously holding DBIA certification; and 10 years of continuous membership in DBIA; and 10 years responsible charge of design-build experience gained while DBIA-certified Nomination of* to Fellow designation. Nominator Leadership Entity* National Region Other Please select one from the one of the following categories. All leadership positions must be current.National DBIA National Board of Directors Design-Build Certification Board DBIA National Committee, Subcommittee or Task Force Chair Region Region Board of Directors Region Committee Chair Other Primary Contacts of Industry Partner Firms where the firm has a minimum of ten continuous years of Industry Partner membership in DBIA DBIA Approved Instructors for 5 years or more Printed Name of Nominator* First Last Nominator DBIA Leadership Position* Nominator Email* Nominator Contact Number*Current Term of Office* Citation*Succinctly specify the contribution to the profession for which the candidate is being cited (200 words):Please confirm that the nominee is aware of this nomination.* Yes Signature* Date* MM slash DD slash YYYY *Maximum of 2 nominations may be submitted
