Award Nomination Form - NEWEA - New England Water Environment Association

Award Name*
Candidate's Name (as it will appear on award)*
Candidate's Title*
Candidate's Company/Affiliation*
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 (name of committee, state association, individual, etc.)*
Sponsor's Company/Affiliation*
Sponsor's Telephone*
Sponsor's Email*
Please verify your Email
Is this a confidential nomination?*
- Yes
- No
An active NEWEA/WEF membership is required for award nominations. Contact NEWEA at 781-939-0908 for their Membership ID# if not known. The NEWEA Membership ID # is the same as the WEF ID #. The Asset Mgmt, Energy Mgmt and Keough Awards are exempt from this requirement.
Candidate's NEWEA Membership ID #
Basis for Award Summary (75 words or less):*
Provide a description of specific reasons why the candidate is being nominated for this award (i.e. relevant association and work-related accomplishments). 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 (75 words or less)*
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.