Honorary Member Nomination Form

Nominees for honorary membership in the ISCP must be: Individuals who have maintained ISCP membership for at least 5 years and who have provided exemplary service to the Society and/or at least 25 years of dedication to the improvement of concrete pavement technology; OR Nonmembers who have dedicated at least 35 years of service to the improvement of concrete pavement technology. Evaluation Criteria Honorary members will be elected by a 2/3 majority of the Board of Directors. Balloting will be performed at the Board of Directors annual mid-year meeting.

Name of Nominee(Required)

Prefix First Middle Last Suffix

A minimum of first and last name are required.

Current Status of Nominee(Required)

Employed

Retired

Deceased

Most Recent Affiliation(Required)

If nominee is retired or deceased, please indicate their last employment-related affiliation.

Most Recent Nominee Title/Position(Required)

i.e. Director of Engineering, Professor, Consultant

Nominee Email

If nominee is retired, deceased, or the email is unknown, leave blank. This is used to contact the nominee.

Country in Which Primary Contributions to Pavements Occurred In(Required)

You may list more than one country if applicable.

Outstanding contribution(s) to concrete pavement education, research and/or technology:(Required)

You can upload a pdf at the end of this form if that is a better format.

Other Notable Activities of Nominee:(Required)

You can upload a pdf at the end of this form if that is a better format.

Your Personal Comments(Required)

All board members and the executive committee of ISCP will be able to see these comments. You may upload a pdf at the end of this form if that is a better format.

Your Name(Required)

First Last

Your Email(Required)

Enter Email Confirm Email

Your Affiliation(Required)

File

Drop files here or

Accepted file types: pdf, Max. file size: 10 MB, Max. files: 3.

If you would like to upload additional supporting materials, you can do so here.