AMTA/AWWA Water Quality Person of the Year Nomination Form This Awards Nomination will be reviewed by the MTC Awards Committee each year for consideration. Please provide your nomination on or before November 15, 2024. Water Quality Person of the Year AwardThis award recognizes an outstanding contribution by an individual in government, academia, research, or other, to water supply improvement. Review Criteria include: Outstanding contribution to water supply improvement through individual effort in the support of membrane or desalination technologies and/or water reuse. Recipient may be an AMTA or AWWA member or nonmember. Award nominations may be submitted by AMTA & AWWA members, AMTA Affiliates and AWWA Membrane Committees. Please provide information below on the individual being nominated and a brief background. You may submit additional backup material if desired.Nomination Submitted byPlease fill out your contact informationSalutation*Mr.Mrs.Ms.Dr.First Name* Middle Initial Last Name* Suffix (i.e.: Ph.D., P.E., Jr.) Job Title* Organization* Mailing Address* City* State/Province*Not Applicable, InternationalAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZIP/Postal Code Country* Country*USAAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweTelephone* CellEmail Address* Website Water Quality Person of the Year Nominee* Please list the individual you would like to nominate.Nominee Organization* Nominee Job Title* Nominee Email Address* Water Quality Nominee Background InformationPlease provide a brief description of the individual you would like to nominate. Or upload your file and indicate that you have uploaded from this form.Upload File for Water Quality Nominee Drop files here or Select files Accepted file types: doc, docx, xlsx, xls, pdf, jpg, png, Max. file size: 100 MB. Please submit files in the following format only: doc, docx, xlsx, xls, pdf, jpg, pngOr email to custsrv@amtaorg.com Comments & CaptchaCAPTCHAPlease enter the letters displayed above to complete your application and then click Submit.CAPTCHA Please refer to AMTA’s Privacy Policy if you have any questions regarding your preferences.