Country: City: State/Province: Telephone: Postal Code: E-mail: Membership Number: Name: Membership Grade: Position: Company/Organization/University: Below address is: Business Home Street: Country: City: State/Province: Telephone: Postal Code: E-mail: Section 2 This section is to be completed by the Nominator/-s. I/we, the undersigned, nominate (insert name here) Nominee’s _______________________________, believing that: the criteria for becoming a Fellow, as outlined in Section 1 of this form and in • he/she meets line with National Regulations; to the best of my/our knowledge all statements in this nomination are true; and • he/she is a fit and proper person to be elected to the grade of Fellow of the ACS. •
City: State/Province: Country: Postal Code: E-mail: Telephone: Name: Membership Number: Position: Membership Grade: Company/Organization/University: Below address is: Business Home Street: City: State/Province: Country: Postal Code: E-mail: Telephone: Section 2 This section is to be completed by the Nominator/-s. I/we, the undersigned, nominate (insert Nominee’s name here) _______________________________, believing that: • he/she meets the criteria for becoming a Fellow, as outlined in Section 1 of this form and in line with National Regulations; • to the best of my/our knowledge all statements in this nomination are true; and • he/she is a fit and proper person to be elected to the grade of Fellow of the ACS.
ACS%20Fellows%20Nomination%20Form.docx