ACEC/NC Future Leaders Nomination Form

2026 Future Leaders

Nomination Form
The nominations deadline is October 27, 2025 OR when the class limit is reached.
Yes, I would like to nominate the following individual for the ACEC/NC Future Leaders Program:
Participants Name*
Participants Title*
Education*
Firm*
Years Experience*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
What ACEC/NC committee are you most interested in joining?*
Nominating Principal*

First NameLast Name
Nominator's Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I fully understand the tuition payment policy & cancellation penalty policy clause, and I understand travel is not provided in the enrollment fee.
Nominating Principal's Signature*

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Nominations must be submitted by October 27, 2025.
Nominees will be notified by November 3, 2025.

Questions?
Contact Jessica Hartong, jhartong@acecnc.org

Payments
Mail payment to the address below. Please contact the ACEC/NC office directly if an invoice is required for processing. All invoices must be paid by 12/1/25 to keep the nominee in the class. If the nominee is not selected, your payment will be refunded.

Remit Payment To:
ACEC/NC
150 Fayetteville Street, Suite 1340
Raleigh, NC 27601
Should be Empty:

2026 Future Leaders