Award Nomination Form | Maine Water Environment Association

Award Nomination Form

Select an Award*

Select the award you would like to submit a nomination for.
Candidate's Name (as it will appear on award)*
Candidate's Title*

enter n/a if not applicable
Candidate's Company/Affiliation*

enter n/a if not applicable
Candidate's Telephone*
Candidate's Email
Candidate's Mailing Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Sponsor's Name*
Sponsor's Company/Affiliation*
Sponsor's Telephone*
Sponsor's Email*

Enter Email

Please verify your Email
Is this a confidential nomination?*
- Yes
- No
Basis for Award Summary:*

Provide a description of specific reasons why the candidate is being nominated for this award. Please refer to the specific award criteria. Additional supporting information relative to this nomination can be attached below.
Supporting information (if desired)
Drop files here or

Accepted file types: pdf, doc, docx, jpg, gif, png.
Candidate's Biographical Info*

Provide a brief biographical summary of the candidate's relevant professional experience. Additional information, such as a resume, can be provided below.
Supporting information (if desired)
Drop files here or

Accepted file types: pdf, doc, docx, jpg, gif, png.

Top