2008 AWARD NOMINATION FORM
 
This is a general electronic nomination form, and may be used for any award for which nominations are sought. Please indicate to the Award Committee why you believe there efforts or accomplishments are deserving of recognition. If a nominee is to be considered in more than one category, please submit separate nomination forms for each. Should an individual be chosen for a award additional information will be necessary. Awardees will be notified by February 1, 2008. Note: Choose one category per submittal.

NOMINATION FOR WHICH AWARD: Award Descriptions

                              INDIVIDUAL AWARDS:                           ORGANIZATIONAL AWARDS:

                                                                                                                                                                                        Population                                                                                                                                                      1,001-10,000 Population                                                                                                                10,001-30,000 Population                                                                                                               30,001-60,000 Population                                                                                                                Over 60,000 Population

NOMINEE INFORMATION

   

Name of Nominee:

Home Address:

City:

State:

   Zip Code:

Phone:

E-Mail:

Social Security #:

Member of  
District/Chapter:

Present Employer:

  Title:

Length of Time in Present Position:  Years    Months  
Yrs. in Water Industry:  
   

Name of Person Submitting Nomination:

Daytime Phone:

E-mail
 


Use this box to describe why the named nominee is deserving in this category. *(50) words minimal or more.                                    

T.W.U.A. Would like to thank you for participating in the association's Annual Awards Program. Important: Submit all nomination forms, by December 31, 2007