Outstanding Operator Award Nomination Form

INSTRUCTIONS: All fields must be completed for Award eligibility. To be considered in the next Award, your completed form must be submitted by April 25th. GOOD LUCK!

Operator Description
Operator Name*
Plant/Employer*
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Brief Treatment Process Overview*
Personal
Years of Experience*
Years with Present Employer*
Operator's License No. and Classification*
Previous Plant Operations Experience*
Continuing Education Units (CEUs) Earned During Past 24 Months*
Professional
SEDA Membership (years)*
Current Job Title*
Years in Present Job*
Qualifications
Operator Deserves This Award Because*
Upload any supporting documents with this application that may be helpful in evaluating your candidate for the Outstanding Operator Award. Please limit to no more than a total of 5 pages. If more than 5 pages are submitted, points will be deducted.
Upload File
Upload File
Your Contact Information
Your Name*
Title*
Telephone
Email Address*
Email Notifications*
Authorization for receiving publication email notification from SEDA.
(applies to all email addresses on this form)
- Yes, I authorize receiving publication email notifications
- No, I would not like to receive publication email notifications (opt-out)
Final Step of Application Process
Please enter the letters displayed below to complete your application and then click Submit.
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Operator Description

Personal

Professional

Qualifications

Your Contact Information

Final Step of Application Process

Contact SEDA

About SEDA

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SEDA Members