Outstanding Operator Award Entry Form

* Operator's State

Utah
Idaho

* Nominee

* Address

* Phone No

* E-mail

* Utility Name

* Manager Nane

Qualifications: Nominee must be a certified operator within the Section and currently performing operational duties at the time of nomination.

Facility Description:

* Population Served

* Design Capacity (MGD)

* Water Source

Surface
Groundwater
Purchase

Surface Water Source(s) Name

Groundwater Number of Wells

Groundwater Number of Springs

Purchase Source(s) Name

* Justification Please note the nominee’s accomplishments that entitle him/her to receive this award

* Please submit a high-quality JPEG photo of the nominee

* Brief Employment History

Memberships or Affiliations

* Certification Class Required for System

Yes
No

* Certification Achieved by Nominee

Professional Awards or Honors Received

* Letters of Support Please include two additional letters of support for this nomination

* Submitted by

* Phone

* Address

* E-mail