Nomination Information

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1. APWA Member Award Category (select one) (Required.)

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2. Candidates Name

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3. Candidates Title

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4. Candidates APWA Member ID

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5. Candidates Agency or Organization

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6. Candidates Street Address

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7. Candidates City, State, Zip

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8. Candidates Phone Number

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9. Candidates e-mail address

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10. Narrative of nomination (please limit to 200 words, additional information will be requested if needed)

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11. Please upload a photo of the Candidate

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12. Additional photo upload (if desired)

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13. Please upload any additional/relevant information 

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