Award Nomination Form
For which award are you nominating this person? *
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). *
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 *
Your answer
Nominee's email address *
Your answer
Nominee's organization *
Your answer
Nominee's position title *
Your answer
Is the nominee a member of WSEHA or plans to become one before the Annual Educational Conference? *
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.
Your answer
Will the nominee be at the Annual Educational Conference to accept the award? This is not required, but is helpful for planning purposes. *
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 answer
Your information
By nominating someone, you agree to attend the Annual Educational Conference to present the award, or delegate someone in your stead.
Your full name *
Your answer
Your email address *
Your answer
Your organization *
Your answer
Your position title *
Your answer
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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