Distinguished Constructor Nomination

Distinguished Constructor Nomination Form

Presented by the Michigan Construction Hall of Fame

I nominate the following individual for the Distinguished Constructor Award

Living Posthumous*

* If deceased please include name of family contact, phone number and email.

Name

Name of Business

Currently Employed

Employed Retired

Title

Address

City

State

Zip

Business Phone

Home Phone

Email (submitter)

1. Major Achievements in Construction Industry

Achievements with date

2. Awards / Recognition

Name of Award

Presented By

Date

Name of Award 2

Presented By 2

Date 2

Name of Award 3

Presented By 3

Date 3

3. Leadership Positions

Position

Organization

Date

Position 2

Organization 2

Date 2

Position 3

Organization 3

Date 3

Position 4

Organization 4

Date 4

4. Major Achievements in the community

Achievements with date

5. Education: High School, Technical, College

Institution

Degree

Date

Institution 2

Degree 2

Date 2

Institution 3

Degree 3

Date 3

6. Describe how the nominee meets the definition of and the criteria for a distinguished constructor:

Description

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Consent*

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