2026 Awards - Biography Form

Please fill out this form online or download the fillable PDF and email to mwea@mi-wea.org

First Name *

Last Name *

Email *

Please enter the name of the award: *

Enter your name as you would like it to appear on the award: *

Your address: *

Phone number: *

Business: *

Location: *

Title: *

Duties: *

Supervisor: *

Supervisor contact information: *

Number of years in this position: *

Please select to enter your prior position information.

Licenses or Certifications:

Accomplishments:

Awards:

College:

Degrees:

Member of:

Please list your family members, hobbies, and anything else you would like to list:

Please select to enter your local newspaper information