Operator of the Year Nomination Form

INSTRUCTIONS: All fields must be completed for Award eligibility. Please refer to the "Operator of the Year" Awards Criteria as you complete this nomination. To be considered in the next Award, your completed form must be submitted by Thursday, July 15, 2021.
GOOD LUCK!

Operator Description
Please refrain from using all caps/uppercase letters, please use sentence structure letter case.
Operator Name*
Plant/Employer*
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Email Address*
Brief Treatment Process Overview*
Personal
Years of Experience*
Years with Present Employer*
Operator's License No. and Classification*
Previous Plant Operations Experience*
Educational Contact Hours Earned During Past 24 Months*
Professional
NWMOA Membership (years)*
Years in Present Job*
Operator Deserves This Award Because*
Describe How the Operator Exhibits a Job Effort that is Above and Beyond the Normal Requirement for His or Her Position.*
Describe How the Operator Demonstrates a Working Knowledge of Membrane Process and Willingness to Further their Knowledge on a Regular Basis.*
Describe How the Operator Represents His or Her Employer in Positive Manner in the Water or Wastewater Industry.*
List Any Awards or Honors the Operator has Received.*
File
Upload any supporting documents with this application that may be helpful in evaluation your candidate for the Outstanding Operator Award.
Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, xlsx, xls.
Your Contact Information
Your Name*
Title*
Telephone
Email Address*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Comments & Captcha
Questions/Comments
CAPTCHA
Please refer to NWMOA’s Privacy Policy if you have any questions regarding your preferences.

Operator Description

Personal

Professional

Your Contact Information

Comments & Captcha