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.
Captcha

Operator Description

Personal

Professional

Qualifications

Your Contact Information

Final Step of Application Process