Award of Merit Form

Please fill out the form below to submit an individual for the Award of Merit.

An award of achievement to those outside the water profession who have demonstrated outstanding service in support of the principles of AWWA in providing better water for people.

Submission Deadline: November 1

For questions reach out to awards@awwa.org.

Award of Merit Entry Form

Nominee’s First Name

Nominee’s Last Name

Nominee’s Title

Nominee’s Email

Nominee’s Mailing Address

Nominee’s City

Nominee’s State/Prov

Nominee’s Zip Code

Country Country

Nominee’s Phone

Eligibility/Justification: Please provide a summary of the nominee’s contribution to the water industry showing outstanding service in support of the principles of AWWA in providing better water for people:

Citation: Please provide a recommended citation of 50 words or less.

Section Nominees: This nomination was approved by:

Submitted By

Date

Submitter Email

Mailing Address

City

State/Province

Zip Code

Country Country

Phone Number:

Biographical Information

Brief employment history:

Civic organization memberships (Lions, Kiwanis, school board, etc.):

Year Joined AWWA:

Offices held (indicate whether Section or Association-level):

Professional organization memberships:

Professional awards or honors received. Give year and identify awarding organization:

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Repeater

College

Year

Degree

Additional Education

Publications – List three major publications

Any additional information as needed

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