2022 ACIUniversity Award Application

ACI Award for University Student Activities Entry Form
DOWNLOAD, FILL OUT, and SUBMIT using the Google Form.

Entry forms must be received by January 31, 2023
Name of University/College:
Name of student/faculty member completing this form:
ACI Member Number of person completing this form:
E‐mail address of person completing this form:
Name of Faculty Advisor (if applicable):
Mailing address for the banner:

Full Name
Street/Physical Address
State/Province
Country
Zip/Postal Code
1. Number of ACI student members at your university in 2022; Please choose one:
0 students are ACI members (0 points)
1‐19 students are ACI members (2 points)
20 or more students are ACI members (4 points)
If you indicated above that there are one or more students at your university who are ACI members, please
attach an Excel spreadsheet and list their names (first name, last name) and ACI Member number.
2. Number of virtual/in‐person concrete competitions that students participated in organized by ACI, an ACI
Local Chapter, or an ACI International Partner in 2022; Please choose one:
0 competitions (0 points)
1 competition (1 point)
2 competitions (2 points)
3+ competitions (3 points)
If you indicated above that students at your university participated in one or more ACI student competitions,
please list the name, location, and date of the competition(s) here (only three competitions are needed for
full points):
Competition Name:
Competition Date: Competition Location:
Competition Name:
Competition Name:
3. Number of students at your university serving as voting or associate members on ACI technical, educational,
and certification committees in 2022; Please choose one:
0 students (0 points)
1‐9 students (1 point)
10 or more students (2 points)
If you indicated above that students at your university served on ACI committees in 2022 please list the
students’ names (first and last) and the number of the committee (ex. 306) they served on here (attach
another page if more space is needed):
Student Name: Committee Number:

4. Number of students at your university attending the 2022 Spring/Fall ACI Convention; Please
choose one:
0 students (0 points)
1‐4 students (1 point)
5‐9 students (2 points)
10+ students (3 points)

If you indicated above that students at your university attended the 2022 Spring Convention (Virtual/In-
Person), please list their names (first and last) here (attach another sheet of paper if needed):
5. Number of faculty at your university attending the 2022 Spring/Fall Convention; Please choose one:
1+ faculty members (2 points)

If you indicated that faculty at your university attended the 2022 ACI Convention, please list their names
(first and last) here (attach another page if more space is needed):
6. Did your university have an active ACI student chapter in 2022? Please choose one:
No (0 points)
Yes (1 point)
If yes, please list the name of the ACI Student Chapter at your university here:
ACI Student Chapter website:
Local Professional ACI Chapter:
Facebook:
Twitter:
Instagram:
7. How many Local ACI Chapter meetings, virtual events, or webinars (not including ACI student chapter
meetings or events) have students at your university participated in (2022 only)? Please choose one:
0 ACI chapter meetings/events (0 points)
1 or more ACI chapter meetings/events (1 point)
If you indicated above that students at your university participated in local ACI chapter meetings, virtual
events, or webinars in 2022, please list the name and date of the event(s) or meeting(s) here:
Event Name: Date:
Event Name: Date:
Event Name: Date:
Event Name: Date:
Event Name: Date:
Event Name: Date:
8. Did students at your university participate in one or more other, non‐ACI, concrete‐related industry virtual
events, meetings, competitions, etc. in 2022 (ex. World of Concrete, ASCE’s National Concrete Canoe
Competition, ANEIC, ASOCRETO, etc.)? Please choose one:
No (0 points)
Yes (1 point)
If you indicated above that students at your university participated in one or more other, non‐ACI, concrete‐
related industry events, meeting, competitions, etc. in 2022, please list the name and date of the events here:
Event Name: Date:
Website: Location:
Event Name: Date:

Website: Location:
Event Name: Date:

Website: Location:
Event Name: Date:

Website: Location:
Event Name: Date:

Website: Location:
Event Name: Date:

Website: Location:
9. Did students at your university participate in any community outreach initiatives in 2022, related to the
concrete industry (ex. neighborhood revitalization or construction, donated services, etc.)?
Please choose one:
No (0 points)
Yes (1 point)
If yes, please explain (in 75 words or less) what community outreach initiatives students at your university
participated in (attach another page if more space is needed):

2022 ACIUniversity Award Application

Uploaded by

Copyright:

Available Formats

2022 ACIUniversity Award Application

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

2022 ACIUniversity Award Application

Uploaded by

Copyright:

Available Formats

ACI Award for University Student Activities Entry Form

DOWNLOAD, FILL OUT, and SUBMIT using the Google Form.

Name of student/faculty member completing this form:

ACI Member Number of person completing this form:

E‐mail address of person completing this form:

Name of Faculty Advisor (if applicable):

Mailing address for the banner:

0 students are ACI members (0 points)

1‐19 students are ACI members (2 points)

20 or more students are ACI members (4 points)

Competition Date: Competition Location:

Competition Date: Competition Location:

Competition Date: Competition Location:

1‐9 students (1 point)

10 or more students (2 points)

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

Student Name: Committee Number:

1‐4 students (1 point)

5‐9 students (2 points)

10+ students (3 points)

1+ faculty members (2 points)

ACI Student Chapter website:

Local Professional ACI Chapter:

Event Name: Date:

Event Name: Date:

Event Name: Date:

Event Name: Date:

Event Name: Date:

Event Name: Date:

Event Name: Date:

Event Name: Date:

Event Name: Date:

Event Name: Date:

You might also like