1 2 3 4 5 6 7 8 9 10 Paragraph Total (10 (10 (10 (10 (10 (10 (15 (10 (10 (5 Points max) max) max) max) max) max) max) max) max) max) Outstanding >30 Significant >25 Evaluation of Service to A&WMA 1 2 3 4 5 6 7 8 9 10 11 12 Paragraph Total (8 (16 (8 (8 (10 (10 (10 (9 (12 (8 (6 (10 Points max) max) max) max) max) max) max) max) max) max) max) max) Outstanding >35 Significant >30 Nominator’s Contact Information: Name: Present Position / Title: Company / Organization / Institution: Address: City: Zip/Postal Code: Country: Phone: Fax: E-mail: Reference Information (At least one name must be listed. References may provide optional letters of support.): Reference 1 Name: Present Position / Title: Company / Organization / Institution: Address: City: Zip/Postal Code: Country:
Paragraph Points 1 (10 max) 2 (10 max) 3 (10 max) 4 (10 max) 5 (10 max) 6 (10 max) 7 (15 max) 8 (10 max) 9 (10 max) 10 (5 max) Total Outstanding >30 Significant >25 Evaluation of Service to A&WMA Paragraph Points 1 (8 max) 2 (16 max) 3 (8 max) 4 (8 max) 5 (10 max) 6 (10 max) 7 (10 max) 8 (9 max) 9 (12 max) 10 (8 max) 11 (6 max) 12 (10 max) Total Outstanding >35 Significant >30 Nominator’s Contact Information: Name: Present Position / Title: Company / Organization / Institution: Address: City: Zip/Postal Code: Country: Phone: Fax: E-mail: Reference Information (At least one name must be listed. References may provide optional letters of support.): Reference 1 Name: Present Position / Title: Company / Organization / Institution: Address: City: Zip/Postal Code: Country: