MWWAAWARDNOMINATIONFORM
MinnesotaWaterWellAssociationAward
Seekingtorecognizeandhonorthosewhohavegivenofthemselvesintheir
businessandcommunitytofurtherthegroundwaterindustryintheStateof
Minnesota!
“PoliticalAppreciationAward”*
Criteria:PersonorPoliticianwhohassupportedlegislativeactionstofurtherthe
interestsofthegroundwaterindustryinMinnesota.Thenomineecanbea
memberornon‐memberoftheMWWA.
“MemberoftheYearAward”*
Criteria:NomineemustanactivememberoftheMWWA.IfaContractor
member,belicensedwiththeMDHandingoodstandingwiththeMDHforthe
past5years.NomineemayalsobeaM&Smember.Bothtypesofmember
shouldbeinvolvedinproactivelypromotingourindustryandtheirrolewithin
theircommunitythroughserviceandeducation,andactivelyparticipatingwithin
theMWWA.
“HonoraryLifeMember”
Criteria:NomineemustbeanactiveindividualMemberorAssociateMember(of
theM&S)whohascontributedaspecialserviceinthefurtheranceofthisindustry
orthisAssociationandhasretiredfromactiveparticipationintheindustry.
NOTE
*indicatesthatcurrentmembersoftheBoardandorConvention
Committeeareexcludedfromnominationandorreceivingtheseawards.
DeadlineforNominationsisDecember15
Thankyouforyournomination.
Pleaseseereversesideforfurtherdetails
MWWAAWARDNOMINATIONFORM
AwardName:___________________________________________
NomineesName:____________________________________________________
Address:___________________________________________________________
CompanyName:____________________________________________________
PositioninCompany:________________________________________________
OutstandingIndustryWork:
OutstandingAssociationWork:
Community&PersonalInvolvement:
AdditionalReasonsforNomination:
Nominationsubmittedby(pleaseprint):_________________________________
Today’sDate:_________________
Pleaseuseadditionalpaperforfurthersupportinginformation.CallMWWAat
800‐332‐2104withanyquestions.Mail,faxoremailnominationformto:
MinnesotaWaterWellAssociation
601DempseyRd.,Westerville,OH43081
Fax:614‐898‐7786email–dschulenberg@ngwa.org
**Select Award**
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