Award Nomination Form

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For which award are you nominating this person? *

John Nordin Outstanding Sanitarian Award

Environmental Health Professional of the Year Award

Rookie of the Year Award

Does the nominee meet all of the eligibility criteria? If you're unsure, you can read about eligibility for each award in the Awards Manual (https://bit.ly/2odliQM). *

Yes

Nominee Information

Nominees for the John Nordin Outstanding Sanitarian Award must be or become a member of WSEHA before the Annual Educational Conference. If you aren't sure if your nominee is a WSEHA member, email Megan at megan@wseha.org to find out.

Nominee's full name *

Nominee's email address *

Nominee's organization *

Nominee's position title *

Is the nominee a member of WSEHA or plans to become one before the Annual Educational Conference? *

Yes

Not sure

Rookie & EH Professional of the Year Awards: Tell us why you're nominating this person. (Limit to 300 words, or about 2000 characters.) John Nordin Award: Skip this question and see note regarding letters of recommendation at the bottom.

List two references (name, email address, and phone number) that we can use as contacts to verify how wonderful your nominee is. We may also ask the references to provide quotes for the presentation of award introduction. *

Your information

By nominating someone, you agree to attend the Annual Educational Conference (or separate award ceremony, as appropriate) to present the award, or delegate someone in your stead.

Your full name *

Your email address *

Your organization *

Your position title *

Letters of Recommendation

A letter of recommendation is required to nominate someone for the John Nordin Outstanding Sanitarian Award only. Letters will also be accepted for Environmental Health Specialist of the Year and Rookie of the Year Awards, but they are not required. Please email the letters of recommendation (if applicable) to Megan at megan@wseha.org.

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