Fellows Nomination Form

Please complete this form 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, 2019.

Please note, as a nominator, you may not serve as a reference for the person you are nominating. Maximum of 2 nominations may be submitted. You will receive confirmation of receipt and status of this nomination within 3 business days.

Confirm candidate's eligibility

10 years as a DBIA™ or Assoc. DBIA™ credential holder
10 years of continuous membership in DBIA

As a nominator you must hold a DBIA leadership role from one of the following entities:

National (Board or Committee)
Region

All leadership positions must be current.

DBIA Leadership Positions Include

Members of the DBIA National Board of Directors
DBIA National board-approved Committee, and Task Force Chairs and Vice Chairs

Members of the Design-Build Certification Board
DBIA-Approved Instructors for 5 years or more

Region Leadership Positions Include

Members of the Region Board of Directors, including chapter leadership
Region Committee Chairs

Nomination of*

Nominator Leadership Entity*

National
Region

Please select one from the one of the following categories. All leadership positions must be current.

National

National Board of Directors
Design-Build Certification Board
National Board-Approved Committee Chair or Vice Chair
DBIA-Approved Instructor (5 years or more)

Region

Region Board of Directors
Chapter Leader
Region Committee Chair

Your Name*

First Last

Leadership Position*

Email*

Phone Number*

Current Term of Office*

Succinctly specify the contribution to the profession for which the candidate is being cited (200 words):

Citation*

Please confirm that the nominee is aware of this nomination.*

Yes

Signature*

Date*

*Maximum of 2 nominations may be submitted

Nomination Form

Certification Fellows Nomination Form