Fellow of the Society - Form 2: Professional Record of Nominee

NOMINEES

The Nominee completes the following Professional Record form and submits it along with the proper documentation, i.e., title pages of all publications, patents, papers, books, etc. that support the application for Fellow.  A list of all publications is of interest but not mandatory. If more room is needed than this form allow, please attach supplementary sheets to the form.

Professional Record

  • The Professional Record should emphasize outstanding scientific, technical or business achievements rather than merely listing positions and titles held.
  • The Professional Record should cover achievements to the present. The extent of the Nominee’s involvement should be specifically presented: e.g., in conception, execution, management, development, etc.
  • The Professional Record should identify individual contributions when the Nominee worked as part of a team.
  • The Nominee is not limited in length of the Professional Record, so that all achievements can be adequately represented.  A complete list of publications (patents, papers, books) is highly recommended. However, it is strongly recommended that the Professional Record be not inundated with inconsequential and unnecessary details. This is a critical concept.

*  Copies of title pages of publications, patents, papers, books, etc. that best support the application for Fellow citations of accomplishments must be included.

Additional Professional Data

  • Include information on accomplishments that have changed the industry or have made a sustainable impact on the industry.
  • If any publications, books, papers or patents were instrumental in the advancement of technology, their importance should be emphasized.
  • As most plastic professionals eligible for Fellow nomination have specialized in a particular area(s) of technical expertise, an explanation should be given if no such specialty is named.

Nominee First Name:
Nominee Last Name:

ACTIVITIES - GIVE IN SEQUENCE AND IN COMPLETE DETAIL

On a separate document, please type a brief, but specific, description of outstanding scientific, engineering or business activities to which you have made important contributions. For example: significant research, design, prototyping/tooling, construction, or management of the process/project. Where you were part of a team, be sure to stress your individual contributions to that team. List achievements and job position held at time of achievement in reverse chronological order. Include a brief statement about the significance, value, or sustainable impact created by each achievement in the development of technology, influence on the market, or the scientific contribution to the plastics industry. With each activity, be sure to include:

  • From Month/Year
  • To Month/Year
  • Position Held
  • Achievements
Please upload your Activities Document here. Zipped files are acceptable.

RANK YOUR FIVE MOST IMPORTANT ACHIEVEMENTS (#1 BEING THE MOST IMPORTANT)

Provide a detailed description of each achievement, stressing the significance, value, or sustainable impact created by each achievement in the development of technology, influence on the market, or the scientific/technical contribution to the plastics industry.
 

Achievement 1:
Achievement 1 Description:
(Maximum characters: 2000)
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Achievement 2:
Achievement 2 Description:
(Maximum characters: 2000)
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Achievement 3:
Achievement 3 Description:
(Maximum characters: 2000)
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Achievement 4:
Achievement 4 Description
(Maximum characters: 2000)
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Achievement 5:
Achievement 5 Description:
(Maximum characters: 2000)
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MANDATORY SUPPORT DOCUMENTATION

Use the following fields to upload copies of title page (listing author's name) of all publications, patents, papers, books, certificates or Awards, etc. that support the application of Fellow. Include any other documentation that you think is relative or pertinent.

Publications - Titles of Papers, Dates and Where Presented (if multiple files, please upload a zipped file):
Books - Titles, Publishers, Dates (if multiple files, please upload a zipped file):
Patents - Patent Numbers, Titles, Dates (if multiple files, please upload a zipped file):
Professional Awards - (if multiple files, please upload a zipped file):
Additional Documentation - Include any other documentation that you think is relative and pertinent. If multiple files, please upload a zipped file.

ADDITIONAL BIOGRAPHICAL INFORMATION

College or University:

School:
Degree/Subject:
Date:
School:
Degree/Subject:
Date:

Additional Education and Degrees:

School:
Degree/Subject:
Date:
School:
Degree/Subject:
Date:

Licensed or Registered Engineer:

State of Registration:
PE Number:

Professional Memberships:

Memberships in Technical or Professional Organizations (other than SPE):
(Maximum characters: 2000)
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Additional Information:

Please furnish the names of two additional references that can provide background information on your technical achievements.

Reference 1 First Name:
Reference 1 Last Name:
Reference 1 Phone:
Reference 1 Email:
Reference 2 First Name:
Reference 2 Last Name:
Reference 2 Phone:
Reference 2 Email:



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