Golden Manhole Society Nomination Form

Nominators or Nominees shall not be on the GMS Selection Committee and must have significant participation in one or more of the following areas: Operations, Maintenance, Design, Field Evaluation, Education, Training, Certification, Management, and Planning of Wastewater Collection Systems.

Person Making Nomination*
First Last
Nominator's Contact Information*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominator's Phone Number
Nominator's Email
Name of Nominee*
First Last
Nominee's Employer*
Nominee's Title
Nominee's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee's Phone Number
Nominee's Email
Nominee Information*
Provide a narrative that identifies the significant contributions the Nominee has made with regard to the Evaluation Criteria (listed below) for the Golden Manhole Society Award. Please provide additional information or attachments as necessary.
EVALUATION CRITERIA:
Induction will be determined by a minimum of three members of the Selection Committee. The committee will use the following criteria to select a nominee for the award:
Additional Criteria Considered:

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Golden Manhole Society Nomination Form

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