NCMS SOCIETY AWARD

INDUSTRIAL SOCIETY AWARD NOMINATION

Submission Deadline: March 1, 2026
Nominee Information
Name*

First NameLast Name
Nominee Email*
example@example.com
NCMS Member*

YesNo
ISP Certified*

YesNo
Organization Name*
NCMS Chapter (if applicable):
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.

Nominator Information
Name*

First NameLast Name
NCMS Chapter (if applicable):
Nominator Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Nominator Signature / Date

I attest that all information submitted in this nomination is true and accurate to the best of my knowledge.
Signature*

Clear
Date*

MonthDayYear
Date

Industrial Society Award Criteria

To be completed by the nominator
This award was established in 1989 to recognize NCMS members who have provided extraordinary or unique contributions to the Society.

The nominee must be a current NCMS member. A minimum of three of the following evaluation criteria must be completed for a nominee to be considered for this award. Each completed criterion must reflect a separate and distinct contribution, not overlapping with any of the other completed criterion.

Provide the effective dates and substantive details which will help document the significance of each contribution. Limit the descriptive narrative to a maximum of 500 words per completed criterion. The selected nominee is recommended by the NCMS Awards Committee to the NCMS Board of Directors for approval.

Note: Current members of the NCMS Awards Committee and Board of Directors are not eligible for this award.

Note: Complete the box under each award criterion that the nominee meets.
Provided a contribution which has materially and beneficially affected the Society's growth or performance. Describe in detail the specific nature of thiscontribution/activity/accomplishment.

0/500
Substantially contributed to the work of a NCMS national or chapter level committee for at least one year. Provide the dates and describe in detail the specific nature of this contribution/activity/accomplishment.

0/500
Currently serving (or have served) as a member of the NCMS Board of Directors, Chapter Officer, or committee Chair at the national and/or chapter level. Provide the dates and describe the contribution/activity/accomplishment.

0/500
Provided sustained support to NCMS at a national and/or chapter level for a minimum of three years. Provide the dates and describe in detail the specific nature of this support.

0/500
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INDUSTRIAL SOCIETY AWARD NOMINATION

Nominee Information

Nominator Information

Nominator Signature / Date

Industrial Society Award Criteria