ࡱ> Y[X &"bjbj! ! ;BCfCf     8VL4J.x wyyyyyy$~0"J JJ  HjjjF  wjwjj; se Rc0,z"0:z";z" ;(jjz" :  91˶Ƶ Center for 91˶Ƶ Process Safety NOMINATION FOR A FELLOW OF AIChE To The Selection Committee of the Center for 91˶Ƶ Process Safety I have the honor of nominating the following individual for consideration to become a Fellow of CCPS: S The five sponsors of this nomination for a Fellow of AIChE are all Fellows or Senior Members (It is required that no more than two sponsors be from the same organization) _____________________________________________________________________________ ___________________ Name of Nominee First Involvement with CCPS (Year) ____________________________________________________________________________________________________ Address ____________________________________________________________________________________________________ Nominee Position / Title / Sponsor Company ____________________________________________________________________________________________________ Company Address City State Zip _____________________________________________________________________________ ______________________ Initiator Date of Submission ____________________________________________________________________________________________________ Initiator Mailing Address City State Zip _____________________________________________________________________________ _______________________ E-mail Address Day Telephone ROFESSIONAL RECORD OF NOMINEE* List Significant Contributions to CCPS (use additional lines as necessary) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ List any Titles, Honors, Awards Education or Publications Relevant to the Nominees Contribution to CCPS. Add additional lines as necessary. _________________________________________________________________________________________ TITLE/HONOR AWARDING ORGANIZATION DATE _________________________________________________________________________________________ PUBLICATION ORGANIZATION DATE List any other relevant information for the Committees Consideration: To help the Selection Committee evaluate the qualifications of the nominee, each person sponsoring the nominee must submit a letter which emphasizes the qualifications and achievements of the nominee. This letter should address the criteria presented on pages 3 and 4 of this form, which will be used by the Selection Committee when evaluating the nominee. Submitted by: Date: Send Completed Form To: CCPS 120 Wall Street, 23rd Floor New York, NY 10005 Phone: 646-495-1371 HYPERLINK "mailto:ccps@aiche.org"ccps@aiche.org CCPS Fellow Program Revised September 2010 Introduction CCPS is supported by its corporate members, but CCPS success depends heavily on the expertise, labor, and dedication of its volunteer leadership. CCPS has initiated a peer-recognition program to honor the leaders among its membership, recognizing individuals that exhibit extraordinary dedication to their field and commitment to CCPS. Those recognized under this program would be designated CCPS Fellows. Recognition as a CCPS Fellow may be accorded to currently active members, to inactive or retired members, and posthumously to members who have made significant contributions. Although the criteria are written in the presence tense, they apply to past service of retired or inactive members and to those recognized posthumously. Nomination Process Fellow candidate nominations can come from anyone, including self-nomination. All potential Fellow candidate nominations must be supported by at least three sponsors. Self-nomination does not count as one of these three sponsors. Selection Process Candidate evaluation is done once a year by a CCPS review committee, typically composed of 6-8 active CCPS Fellows. The committee bases its decision on select criteria designed to highlight the individuals leadership standing amongst his/her CCPS peers. Criteria CCPS Fellow selection criteria focus on four general categories including: Consistently active participation over time: Extent of participation on committees, speaking and leading sessions at TSC meetings, leadership of and contribution to CCPS strategy and project selection, participation (including presentations) at annual safety symposia (including the Global Congress on Process Safety), and demonstration of process safety expertise and leadership. A minimum of five years active participation in CCPS activities is required. Length of service within CCPS is a key factor in the selection process and total years of service will count highly when distinguishing between candidates. Contribution: What is the continued impact/outcome of individuals participation? Loyalty: When involved in CCPS activities, does individual act as a strong ambassador and/or spokesman for CCPS? Community: Does the individual bring other participants from their company? Are they willing to share their expertise and time to promote the overall community of process safety? Benefits of being named a CCPS Fellow Honors bestowed upon the Fellow includes a letter to the individuals company explaining their involvement in and dedication to CCPS and process safety; recognition at TSC meetings; a Fellows plaque and recognition on the CCPS website. Eligibility An eligible candidate must be employed by a CCPS member organization at the time of nomination or must have been employed by a CCPS member company when active, and must work or have worked in the field of process safety. In addition, CCPS staff, CCPS Emeritus and CCPS staff consultants are eligible candidates. The number of Fellows honored in any given year will be limited to a maximum of three individuals. Of the three, one honoree may be either no longer active or posthumous. Fellow Selection Committee The Fellow Selection Committee will consist of 6-8 active CCPS Fellow, selected each year by the CCPS director. One of the Committee members will be selected as Chairman by the committee members. The committees recommendations for Fellow will be reviewed by the active CCPS Fellows, and endorsed by the CCPS director. Note: Fellow status will not be revoked when the Fellow ends participation in CCPS; they will just not be able to participate in selection of other Fellows while inactive.     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