Year*

Which Named Award Is This Nomination For?
The Harold Ensign Engineering Excellence Award - presented to the individual who has made significant contributions to improve the operation and maintenance of petroleum equipment and facilitates.The Howard Gammon Black Gold Quality Award - presented for a lifetime of dedicated service to improving the quality of aviation fuels.The Elvis (Mac) Fishburn Fellow Award - presented annually for outstanding contributions and tireless support to Fuelhandlers worldwide.The Lew Thompson Memorial Service Award - presented to a current NPMA member and volunteer who has contributed countless hours of dedicated time and effort to help the association and support its goals and objectives.The Roy Bateman Professional Fuelhandler Award - presented to an individual who best exemplifies “service before self” as a Professional Fuelhandler.The Larry R. Dipoma Humanitarian Award - presented annually to an individual who has the courage to take decisive action, the wisdom to face aggressive challenges, and the willingness to promote change that will have a long-term impact on the betterment of the fuel handling profession.

Name, Title, Organization, & Location (Enter the personal identification information of the individual being nominated)*

Work History Brief (Describe the nominee’s duties and responsibilities with emphasis of skills, knowledge and abilities.)*

Performance/Accomplishments (Describe the nominee’s performance and any significant accomplishments. What makes this person stand out above others of similar training and experience.)*

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Nominator First Name*

Nominator Last Name*

Nominator Email*

Nominator Phone

Nominator Address 1

Address 2

City

State

Zip

Country

Nominator Title

Nominator Company