Wastewater Collections Operator Award 2023

Wastewater Collections Operator Award

SECTION 1
PLEASE INDICATE WHICH AWARD YOU ARE NOMINATING FOR *	Raymond E. "Red" Ebert Award Water Distribution Operator of the Year Award Wastewater Collections Operator of the Year Award
Nominator Information Please complete the following information for the person completing this nomination.
Nominator Full Name *
Nominator Organization *
Nominator Professional Title
Nominator Address (Include City, State, and Zip) *
Nominator Phone *
Nominator Email Address *
SECTION 2
Nominee Contact Information Complete the following fields related to the person being nominated for the award.
Nominee Full Name *
Nominee Employer *
Nominee Professional Title
Nominee Address (Include City, State, and Zip) *
Nominee Phone *
Nominee Email Address *
SECTION 3
Nominee Professional Information Complete the following fields related to the nominee's certifications and membership. When listing involvement with AWWA, WEF, and NC One Water, include activity with the national AWWA and national WEF in the AWWA Involvement and WEF Involvement fields. Participation within North Carolina should be listed in the NC One Water Involvement field. If you would prefer, you may answer questions in a Word document, convert the document to a PDF file, and upload the responses with your nomination.
Certifications Held (Include Type and Level)
Memberships (select all that apply)	AWWA WEF NC SLAM
AWWA Involvement
WEF Involvement
NC AWWA-WEA Involvement
SECTION 4
Professional Accomplishments Please fill in the questions below detailing Employment history, training experience, courses completed, and any other professional developments made.
Length of FULL TIME employment with current employer *
Self-improvement (job history, promotions, departmental growth, personal accomplishments, etc) *
Additional Training (List courses completed, training offered by the City or other agency, etc.) *
New ideas or improvements developed for existing facility or city
SECTION 5
Character and Community Involvement Indicate below the strides taken to aid the community, and other characteristic that are notable. Enter any previous recognition and who the endorser is for each. If additional space is needed, please continue answers in a separate document and upload it below.
Ability to serve the best interest of the community *
Character: *
Previous Recognition:
Endorser 1 Name
Endorser 1 Title:
Endorser 1 Employer:
Endorser 1 Phone:
Endorser 1 Email:
Endorser 2 Name
Endorser 2 Title
Endorser 2 Employer
Endorser 2 Phone
Endorser 2 Email
SECTION 6
Uploading Supporting Documents If you would like to upload responses to open-ended questions, or additional materials, please convert them to PDF format and merge all documents into a clearly labeled file.
Upload any supporting documents here