AMTA Member of the Year Nomination Form This Awards Nomination will be reviewed by the AMTA Awards Committee for consideration for the AMTA Awards that will be presented each year during the MTC Conference & Exposition. If you are submitting after December 21, 2023, it will not be added. AMTA Member of the YearThis award recognizes outstanding contribution to water supply improvement through desalination and/or water reuse by an individual who is a member of AMTA. Review Criteria includes: Outstanding contribution to improving the nation’s water supply through individual effort in the desalting and/or water reuse areas. Examples include: contribution to AMTA; contribution to the exchange of information concerning the state of the art of desalination and/or water reuse; contribution to the desalination or water reuse industries. Recipient must be an AMTA member. Nominations may be submitted by AMTA Members and AMTA Affiliates. Please provide information below on the individual being recommended 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* Telephone*CellEmail Address* Email Address* Website Nominee InformationOutstanding Member Nominee Please list the individual/company you would like to nominate.Nominee Organization* Nominee Job Title* Nominee Email Address* Outstanding Member Nominee Background InformationPlease provide a brief description of the individual/company you would like to nominate. Or upload your file and indicate that you have uploaded from this form.Upload File for Outstanding Member 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 admin@amtaorg.comComments & CaptchaQuestions/CommentsCAPTCHA