Fellows Nomination

Please complete and return one form per nominee with a one-page biography by January 15, 2025.

Refer to the Selection and Evaluation Criteria for detailed guidelines and additional information. Contact Iman Hannon, Chief Credentialing & Governance Officer, if you have any questions about the nomination and selection processes

Fellows Nomination Form

This field is for validation purposes and should be left unchanged.

Nominee Information

Membership Category(Required)
(Required)

Is this person aware that they are nominated as a NIRI Fellow?(Required)
Is this person aware that they are expected to attend a recognition program during the NIRI Annual Conference if selected as a NIRI Fellow?(Required)

Nominator Information:

Name(Required)
Max. file size: 20 MB.