News  |  Careers  |  Resources  |  Contact Us
KWEA on Facebook KWEA on Twitter KWEA on LinkedIn

Collection Systems Award Nomination

Page 1 of 4

To be eligible, the following nomination must be submitted, along with supporting documentation, by July 1.

Be sure to have supporting documentation ready to submit at the end.

Want to submit a nomination the old-fashioned way? pdf Download the nomination form.

Fields marked with an (*) are required.

Section A: General Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Nominated By
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Section B: System Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Section C: Award Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Amount of Systems Inspected Annually:
Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

Corrective Maintenance Used:
Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Invalid Input

length/quantity

Lift Stations
Invalid Input

Invalid Input

Safety

Invalid Input

Invalid Input

Supporting Documentation

Please provide documentation and supporting information detailing outstanding and significant contribution in wastewater collection.

If preferred, you may email your supporting documentation to Alex Darby.

Invalid Input - Please check your file does not exceed 15MB

pdf, jpg, txt, doc, docx, ppt, pptx (max 15MB)

Invalid Input