Fellows Nomination Form

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 15, 2021.

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 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*

*Maximum of 2 nominations may be submitted