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Personal Information
To include middle name or initial, include both in the First Name block.
To add, suffix title, include it in the Last Name block.

* Required Field

NECA Member Firm
(current or most recent)
From: To:

The nominee must have served for at least 10 years (computed to the date of becoming a Fellow of the Academy or to the date of retirement from the electrical contracting industry) in an executive position or positions with a member firm or NECA Chapter or with the Association itself, or with an two or more of these.

If you have accounted for 10 years in this section, click the checkbox below; if you have not, you need to enter additional employment in the sections below to account for the required 10-year period.

* Required Field


Other NECA Related Positions/Employment

If you have not accounted for the 10 year qualification in the previous section, please enter additional employment below to account for the required period. It is permissible to include additional employment at other NECA firms even if the candidate has met the 10 year requirement.

Position held is required.
If Other, please specify is required.
From: To: Dates are required.

Position held is required.
If Other, please specify is required.
From: To: Dates are required.

* Required Field

National Committee or Task Force

To note a National Committee or Task Force that is not in the existing list, enter the name of the committee or task force below in an “Other Committee Name” box. Provide the years of service below that.

From: To: Dates are required.

From: To: Dates are required.

From: To: Dates are required.

From: To: Dates are required.

From: To: Dates are required.

From: To: Dates are required.

From: To: Dates are required.

From: To: Dates are required.

From: To: Dates are required.

Chapter Offices Held

If a nominee has served the same office for different (non-successive) terms, please show the more recent term in this section and show previous term(s) in the Other Chapter Committees or Positions section below.

Chapter Governer
From: To: Dates are required.

Chapter President
From: To: Dates are required.

Chapter Vice-President
From: To: Dates are required.

Chapter Secretary
From: To: Dates are required.

Chapter Treasurer
From: To: Dates are required.

Chapter Board of Directors
From: To: Dates are required.

Chapter Division Chairman
From: To: Dates are required.

Other Committees or Positions
Number of years is required.

Number of years is required.

Number of years is required.

Number of years is required.

Number of years is required.

Number of years is required.

Number of years is required.

Number of years is required.

Number of years is required.

Number of years is required.
Civic or Public Service -- Optional

While civic and public service may enhance the nominee's fitness for Fellowship in the Academy, you should only include the most significant examples of civic, fraternal or philanthropic service. Positions that demonstrate leadership are more significant than merely belonging. The lack of such service shall not be held against the nominee.

Certification

The Academy staff needs a point of contact for the nomination (often a chapter staff person). This should be the person that we would contact with questions or suggestions and the person to whom we would confirm the nomination to (with copies to the chapter governor or president and any Fellows lending their endorsement).

Nominations may be submitted by:

  • Two Fellows of the Academy who have personal knowledge of the nominee’s qualifications for the Academy. Such Fellows are required to submit a personal letter providing further information about their relationship with the nominee.
  • By the Board of Directors of a NECA Chapter (as certified by the Chapter Governor or President). The Chapter Governor or President is required to submit a letter to the Jury to certify the nomination.
  • It is permissible for a NECA Chapter to include the endorsement of only one Fellow.

Note: current members of the Jury of Fellows and current NECA officers (including the NECA President, Vice Presidents and Chairman of the Academy) are prohibited from counter-signing a nomination initiated by a chapter nominations. In other words current NECA officer(s) May decide that a candidate should be nominated and they may initiate a nomination. They should not be asked to counter-sign a nomination. Current members of the Jury of Fellows do not have the same privilege and should not initiate or endorse an individual for Fellowship.

The name and year of Academy induction should be entered below for Fellows.
The name of the chapter and its governor or president should be entered below.

Year Inducted is required.
Year Inducted is required.

The board of directors of the following chapter approve this nomination for consideration.

Name of Officer is required.
Chapter Governor:
Chapter President:
Position is required.

When you have completed all of the information about your candidate on all of the four (4) tabs, hitting the "Submit" button will transmit the information to the Academy. Remember you must also include a Distinguished Service Narrative, a photo and letters from nominators to complete the application effort.

It is recommended that you print this form using the button below before submitting the form to the Academy. When satisfied with the information, please hit Submit to send it to the Academy office.

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