CWEA Nomination Form Laboratory Committee Person of the Year Award
Checklist of Awards Criteria:
You must include all of the following to be eligible for the award.
Nominee must be a CWEA member.
Nominee must be, or have been employed in laboratory where the principal activity is wastewater analysis.
CWEA Laboratory Analyst Certification.
Highly desirable: a record of service to CWEA and/or one of its Local Sections.
- Note: Laboratory Supervisors are not eligible for this award.
Application data must be from your agency’s prior fiscal year.
LAB_PERSON_form.docPage 1 of 4
CWEA Nomination Form Laboratory Committee Person of the Year Award
Questions about awards criteria:
ContactSara Burke, Laboratory Chair, .
TO BE COMPLETED BY NOMINATOR
I.NOMINEE:
A.Name of Nominee:
Job Title:
Years in position:
Employer:
Supervisor:
B.Local Section Member: Yes No Years:
CWEA Laboratory Analyst Certification: Yes No Grade:
CWEA Member (Required): Yes No Years:
WEF Member: Yes No Years:
Other Memberships (AWWA, etc.) Please list:
C.List previous awards:
II.SUGGESTED AWARD CRITERIA:
*Note: Attach additional information if needed.
A.Describe nominee’s job; include his/her functions and relationship to other employees.
B.What has this nominee done to improve the functioning of the work group?
C.How has the nominee been active at the Local Section?
D.How has the nominee been active at the State (CWEA or other) level?
E.What professional accomplishments has the nominee achieved related to this award (i.e., publication, presentations, etc.)?
F.List any relevant educational background and other training classes.
G.List any relevant past work experience.
- Any other comments relating to this person’s nomination?
LABORATORY PERSON OF THE YEAR SCORE SHEET
NOMINEE’S NAME:
Years in Position123456789
Lab. Certification123456789
Professional Mem.123456789
Job Functions/
Relationship to
Other Employees123456789
Improvement to
Work Group
Function123456789
CWEA Local
Activity123456789
CWEA State
Activity123456789
Professional
Accomplishments123456789
Educational &
Training Classes123456789
Relevant Past Work
Experience123456789
Nomination 12345678 9
Summary
TOTAL POINTS
TOTAL POSSIBLE 99
%
Rated by : Date :
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