To: Robert Johanson
San Joaquin Valley Chapter No. 731 of Sigma Xi
Department of Civil Engineering
University of the Pacific
Stockton, CA 95211
Re: New Membership

NOMINATION FOR MEMBERSHIP

_____To the Admissions Committee of the________________________Chapter

(Any two active full Members of that chapter may serve as nominator and seconder. This form should be presented to any officer of the above mentioned group. Publication lists or similar evidence are helpful; consult your chapter for required supporting material.)

_____To the Committee on Membership

(Any two active full Members of the Society may serve as nominator and seconder. Send this form along with a list of publications and/or patents, or similar information which demonstrates the quantitative nature of scientific research and a CV/resume to Headquarters.)

As active (dues paid) members of Sigma Xi, we, the undersigned, would like to propose the following individual for membership in the Society. We are personally familiar with the nominee's qualifications which can be made available to the Committee on Admissions if required and which, we believe, demonstrate the nominee's eligibility.

Full Name of Nominee____________________________

(Preferably no initials; last name, first name, middle name)

NOMINATION FOR: (check one)
_____Election to Associate Member Status--Brief statement regarding demonstrated research aptitude:

_____Election to Full Member Status--Brief statement regarding demonstrated noteworthy achievement in research:

_____Promotion to Full Member Status--Brief statement regarding demonstrated noteworthy achievement in research:

ADDITIONAL MATERIAL ATTACHED _____YES _____NO
Note: List of publications/patents or similar supporting evidence of eligibility is required by the Committee on Membership.

Nominator__________________________ Member # (if known)______________

Employer________________________

Position ______________ Department______________________

Signed________________________

Date________ Telephone___________

Seconder___________________________ Member # (if known)_____________

Employer________________________

Position ______________ Department______________________

Signed_________________________

Date________ Telephone___________

(This section may be completed by Nominee: Please Print or Type)

Full Name of Nominee____________________________________
(Preferably no initials; last name, first name, middle name)

Employer___________________________

Nominee's Position Title______________________

Dept./Division_______________________

Business Address___________________________ (Street)

(city)_______________(state)______________(zip code) _______

Telephone ____-____-__________ (include area code)

e-mail ________________________________

Home Address___________________________ (Street)

(city)_______________(state)______________(zip code) _______

Telephone ____-____-__________ (include area code)

Field of Research ____________________________________________

EDUCATION

Institution__________________________

Dates Attended________________

Degree__________________ Date Received___________

Institution__________________________Dates

Attended________________

Degree__________________ Date Received___________

Institution__________________________Dates

Attended________________

Degree__________________ Date Received___________

Degree (if any) for which nominee is a candidate________________

Expected Date______________

ELIGIBILITY GUIDELINES

Extract from the Society's Constitution (Article II, Section 3) concerning eligibility:

Section 3. Requirements for Election or Promotion to Membership.

A. Member. Any individual who has shown noteworthy achievement as an original investigator in a field of pure or applied science is eligible for election or promotion to full membership in the Society by a chapter or the Committee on Membership.

B. Associate Member. Any individual who has, through initial research achievement in a field of pure or applied science, shown aptitude for research wmch is expected in due course to lead to the fulfilrnent of the requirements for full membership, is eligible for election to associate membership by a chapter or club or the Committee on Membership.

Extract from the Society's Bylaws concerning eligibility:

For Election or Promotion to Full Membership.

"Noteworthy Achievement. Noteworthy achievement in research specified for election or promotion to full membership ... must be evidenced by publication, patents, written reports or a thesis or dissertation, which must be available to the Committee on Admissions if requested. If the work is "classified," it shall be assessed for the Committee on Admissions by a "cleared" Member. Membership in the Society is neither linked to the possession of any degree nor contingent upon belonging to some other organization." (Bylaw 11, 2B)

For Election to Associate Membership.

"Research Aptitude. Research aptitude specified for election to associate membership ... must be evidence by independent investigation ordinarily resulting in a written report, which must be available to the Committee on Admissions if requested. If the work is "classified," it shall be assessed for the Committee on Admissions by a "cleared" Member. Associate membership is offered to encourage young investigators with promise to continue careers in research. In making the nomination, both the nominator and the seconder attest to the nominee's potential for future promotion to Member." (Bylaw11, C)