Nomination Form - Ground Water Canada

*Self-nominations are acceptable

Name(Required)

First Last

Phone(Required)

Email(Required)

Name of nominee(Required)

First Last

Job Title(Required)

Name of Company(Required)

Location of Company(Required)

City, Province

Phone(Required)

Email(Required)

How long has this person been in the ground water industry?(Required)

What sets them apart: Why do they deserve to be recognized?(Required)

Include specific examples where they’ve worked to achieve certain goals or gone above and beyond for the good of the business.

Commitment to the sector:(Required)

From mentoring young staff to taking part in industry associations, how does this person's actions positively contribute to the overall sector?

Innovation:(Required)

Are they constantly on the lookout for new ideas or new technology to improve operations? Do they question the status quo? Tell us.

Final thoughts:

Please upload a high-resolution photo of the candidate

Images(Required)

Drop files here or

Accepted file types: jpg, png, Max. file size: 32 MB, Max. files: 3.