www.mwua.org MWUA Annual Recognition Awards Nomination Form Question Title * 1. Please fill in YOUR information below Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: Phone Number: Question Title * 2. Name of award nominee (individual or water utility) Question Title * 3. Please indicate the award for which you are nominating this person or water utility. EXCELLENCE IN OPERATIONS AWARD (recognizes outstanding performance of a public water system where a team effort has contributed to excellence in the following areas: consistent compliance with public health and environmental standards and regulations; mindfulness to system maintenance, infrastructure, and equipment; continuous improvements to the system’s water quality; special efforts in the training and education of the utility’s employees; significant efforts to educate the public about drinking water issues and their public water system; and participation in new research to improve the quality of drinking water.) JEFF NIXON DISTINGUISHED SERVICE AWARD (recognizes a member of the MWUA who has demonstrated 2 or more of the following: a career of service to a Maine Water Utility; dedication and commitment to the MWUA over a period of ten years or more; and/or outstanding contributions to the water works profession in Maine.) JIM DOHERTY EXCELLENCE IN VOLUNTEERISM AWARD (recognizes a past or present employee of an ASSOCIATE MEMBER of the MWUA who has demonstrated the following: While volunteering time, materials, labor, equipment or expertise, this person provided an outstanding service, contribution or assistance to a Maine water utility, the utility’s employees or staff or to the water works profession, going above and beyond their normal job requirements to simply provide a helping hand.) PRESIDENT'S AWARD (recognizes an individual or organization that has demonstrated an extraordinary dedication and commitment to the water works profession and to the MWUA over the past year.) SID ANTHONY AWARD OF MERIT (recognizes an eligible member of the MWUA who has demonstrated one or more of the following: outstanding service to a Maine Water Utility; outstanding contribution or assistance to other water utility personnel; and/or outstanding contribution to the water works practice.) Question Title * 4. Please give a detailed statement supporting why the individual/organization should receive this award. Please send any further supporting documents, resume, etc. to: Maine Water Utilities Association, 15 University Drive, Augusta, ME 04330 or email to jberger@mwua.org .Nominations are due December 1st.On behalf of the Board of Directors of Maine Water Utilities Association, we thank you for your nomination! Done