Award Nomination Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Recognizing the outstanding contributions of rural water & wastewater professionals is one of the highlights of the Alliance's Annual Spring Conference. Each year, the Alliance of Indiana Rural Water presents awards in recognition of outstanding performance. Award winners in each category will be honored on Wednesday, during the Awards Luncheon. Please take advantage of this chance to recognize someone for a job well done! To assist the Alliance Awards Committee in selecting deserving individuals, please fill out the form below.

Nominations for 2026 Awards of Excellence are due by Friday, January 30. Must be an Alliance Member to participate in the Awards of Excellence.

Category *

Nominee's Name *

System Name *

Nominators Name *

Nominators Email *

Nominators Phone *

List the year the nominee began working for the system *

List the responsibilities of the nominee in his / her current position *

List your primary reason(s) for nominating him / her for this award *

Please indicate what type of training the nominee has received *

Please list any awards or certificates the nominee has received *

Describe any contributions the nominee has made to the improvement of his / her system *

Will the nominee be attending the conference *

Local Newspaper(s) (for press release if nominee wins) *

Please Use this area if you would like to add any additional comments about the nominee *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms