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2010 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. Note: Choose one category per submittal.

NOMINATION FOR WHICH AWARD:
Award Descriptions
Individual Awards
Ballard Meritorious Service
Outstanding Professional
Education and Training
Association Leadership
Community Improvement
Operator of the Year
Allen Distinguished Service
Outstanding New Professional
Public Education
Community Service
Heroism
Individual Awards
Leadership Award
Alliance Award
Public Education Program
Batchelor Safety Program
Population
1,001 - 10,000     10,001 - 30,000     30,001 - 60,000     Over 60,000
Nominee Information
Name of Nominee  
Home Adddress  
City  
State  
Zip  
Phone  
Email  
Member of Distritct/Chapter  
Present Employer  
Title  
Length of Time in Present Position  
Years in Water Industry  
Person Submitting Nomination
Name  
Daytime Phone  
Email  
Use this box to describe why the named nominee is deserving in this category.
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.
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