Ohio Water Environment Association

Crystal Crucible Society

DEADLINE: March 1 INSTRUCTIONS: 1.Nominations must be submitted on the official form yearly. 2.Information to support the nomination may be attached. 3.No other formats will be accepted. REQUIREMENTS: Significant participation in one or more of the following laboratory areas: Wastewater Analysis, Education, Training, Certification, and Management. 1.Must be a member of WEF/OWEA. 2.Must have ten or more years experience in the laboratory area. 3.Must have contributed to the laboratory field in a significant manner. EVALUATION CRITERIA: Induction will be decided by the Selection Committee consisting of a minimum of six members. The committee will use the following criteria to select a nominee for the award: 1.Significant participation in one or more of the following laboratory areas: Wastewater Analysis, Education, Training, Certification and Management. 2.Participation in the WEF Technical Practices Committee or OWEA Laboratory Analyst Committee 3.Papers or articles accepted by State, Regional or National publications. 4.Technical presentations made at professional conferences. 5.Involvement in promoting the professional recognition of the Wastewater Laboratory Field. OTHER: The Selection Committee recognizes and honors separately, both the inductees and their employers for their combined contributions, which promotes increased professionalism in the laboratory field. For questions please contact: Melodi Clark 614-645-1239 MLClark@columbus.gov

First Name *

Last Name *

Email *

This form is to be completed by the nominator.

Section 1: Nominator

Person Making Nomination

Nominating Person's Email Address

Nominating Person's Phone Number

Section 2: Nominee

Nominee

Employer

Title

Mailing Address

Email Address

Phone Number

WEF/OWEA Membership #

Section 3: List the significant contributions the candidate has made that promote pride and safety in the workplace, teamwork, education and the promotion of professionalism in the wastewater laboratory field. Please include a resume and provide attachments, or additional information as necessary.

Additional Information Attachment 1

Additional Information Attachment 2

Any other additional information

Section 4: Please provide the name of the local newspaper and contact phone numbers for press releases.

Name of Newspaper

Phone Number