Operator of the Year Nomination Form

INSTRUCTIONS: All fields must be completed for Award eligibility. Please refer to the "Operator of the Year" Awards Criteria as you complete this application. To be considered in the next Award, your completed form must be submitted by February 15th. GOOD LUCK!
If you prefer to mail in your nomination please download a printable Operator of the Year Nomination Form, complete and mail to 2409 SE Dixie Hwy., Stuart, FL 34996.

Operator Description
Operator Name*
Plant/Employer*
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Email Address*
Email Notifications*
- Yes, I authorize receiving publication email notifications
- No, I would not like to receive publication email notifications (opt-out)
Authorization for receiving publication email notification from SWMOA.
(applies to all email addresses on this form)
Brief Treatment Process Overview*
Personal
Years of Experience*
Years with Present Employer*
Operator's License No. and Classification*
Previous Plant Operations Experience*
Educational Contact Hours Earned During Past 24 Months*
Professional
SWMOA Membership (years)*
Years in Present Job*
Operator Deserves This Award Because*
Upload any supporting documents with this application that may be helpful in evaluation your
candidate for the Outstanding Operator Award.
Upload File
Upload File
Your Contact Information
Your Name*
Title*
Telephone
Email Address*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Questions/Comments
Questions/Comments
Final Step of Nomination Process
Captcha
Please enter the letters displayed above to complete your application and then click Submit.

Operator Description

Personal

Professional

Your Contact Information

Questions/Comments

Final Step of Nomination Process