MTC Operator of the Year Nomination Form This MTC Operator of the Year Nomination will be reviewed by the MTC Awards Committee each year for consideration. If you are submitting after November 15, 2024, it will not be added. Robert O. Vernon Membrane Plant Operator of the Year AwardThis award recognizes outstanding contribution to water supply improvement by an individual working at a membrane filtration, desalination and/or water reuse facility. Review Criteria includes: Outstanding contribution by a membrane plant operator which has resulted in significant, long-term improvement in water production and/or water reuse. Recipient must be an AMTA or AWWA member or affiliate organization member. Award nominations may be submitted by AMTA & AWWA members, AMTA Affiliates and AWWA Membrane Committees. Please provide information below on the individual being recommended and a brief background. You may submit additional backup material if desired.Operator Nominee InformationPlease fill out the operator nominee information below.Operator Name* First Last Job Title*Employer*Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Nominee Criteria InformationPlease fill out the below information about the nomineeYears of Experience*Years with Current Employer*Previous Plant Operations Experience*Nominee Background Information*Please provide a brief description of the indivdual you would like to nominate. Or upload your file and indicate that you have uploaded from this form.Must meet the following criteria:* Continuously worked for at least one year as a licensed plant operator in a facility that contains at least one membrane based treatment process Exhibit a job effort that is above and beyond the normal requirement for his/her position Demonstrate a working knowledge of membrane processes and a willingness to further their knowledge on a regular basis Demonstrate the ability to positively represent his or her employer in the water or wastewater industry Describe How the Operator Exhibits a Job Effort that is Above and Beyond the Normal Requirements for His or Her Position.*Describe How the Operator Demonstrates a Working Knowledge of Membrane Processes and Willingness to Further their Knowledge on a Regular Basis.*Describe How the Operator Demonstrates the Ability to Positively Represent His or Her Employer in the Water or Wastewater Industry*Letter of recommendation from supervisor or other management personnel Drop files here or Select files Accepted file types: doc, docx, xlsx, xls, pdf, jpg, png, Max. file size: 100 MB. Must be actively supporting and volunteering in one or more of the following industry organizations (select all that apply)* AWWA AMTA NWMOA SCMA SEDA SWMOA IDA Headshot/Photo of Operator Nominee Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 100 MB. Please submit files in the following format only: jpg, png, jpeg or email to admin@amtaorg.comDescribe how the Operator supports the above listed organization.*Please provide how the nominee has actively supported and volunteered with the organizations checked off above. Submitter InformationName* First Last Job Title*Organization*Email* Comments & CaptchaCommentsPlease add any comments in this text box.CAPTCHAPlease refer to AMTA’s Privacy Policy if you have any questions regarding your preferences.