Charles W. Wilson Award Entry Form

Purpose of Award: To recognize an individual AWWA member’s special performance in the
following areas:
a. Years of Service – 20 years or more of distinguished service to the water works industry
b. Leadership – Provides exceptional leadership for the advancement of the water works industry.
c. Mentoring – Shares knowledge, expertise, and wisdom within the water works industry to his/her community
d. Contribution – Makes consistent and exceptional contributions to the AWWA
Intermountain Section, the water works industry, and service to his/her community
e. Vision – Plans long-term economic growth and expansion to meet the needs of the water
users’ present and future needs

* Nominee

* Organization/Company & Title

* Address

* Phone No

* E-mail

* Years of Service

* Leadership

* Mentoring

* Contribution

* Vision

* Summary of Qualifications

* Brief employment history

Civil organization memberships

* Year joined AWWA / Office held Indicate whether section or national level

Professional awards or honors received. Include year and identity awarding organization.

* Education

Publications

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

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

* Submitted by

* Address

* Phone

* E-mail

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