Emeritus Nomination
First Name:  (Required)
Last Name:  (Required)
Email:  (Required)

Information about you
In case the Membership Committee has a question about the individual you are recommending, and needs to contact you.
First Name  (Required)
Last Name  (Required)
Email Address  (Required)
Phone Area Code  (Required)
Phone  (Required)
Information about your Nominee
Please complete the fields below in reference to your nominee for Emeritus Membership.
First Name  (Required)
Last Name  (Required)
Nominee has retired (Check "yes" if your nominee has formally terminated regular professional employment through retirement. Only retired members are eligible for emeritus membership in NEAIR.)
Yes
No
Date of Retirement  (Required)
Nominee is current member (Check "yes" if your nominee is a current member of NEAIR at the time of retirement. This current membership status is also a requirement for Emeritus Membership.)
Yes
No
NEAIR member for 7 years (Check "yes" if your nominee has been an active member of the Association for a minimum cumulative total of seven years. These do not need to be consecutive years. Please check with Beth Simpson at neair@neair.org for verification.)
Yes
No
Years of membership (Please indicate the years you believe your nominee was a member of NEAIR.)  (Required)

Activity (Please briefly describe your nominee's active role in NEAIR.)  (Required)

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