Proud of our past, Confident of our future.
Year*
Which Individual Award Is This Nomination For? Program/Project Manager Award (Manager/Key Supervisor in Program or Project Management)Station/General Manager Award (Senior Fuels Manager at the Airport or Staff level)Operations/Facility Manager Award (Supervisor Fuel Distribution or Terminal level operations)Quality/Safety Manager Award (Installation/Field Level)Maintenance Manager Award (Supervisor/Mechanic in hydrant, vehicle, or tank farm)Fuels Supervisor/Operator Award (Supervisor or Operator in Refueling or Tank Farm Operations)
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.)*
Self Improvement/Community Activities (Explain what the individual has done towards self improvement and the level of effort involved in good citizenship and community activity.)*
Picture 1
Picture 2
Picture 3
Nominator First Name*
Nominator Last Name*
Nominator Email*
Nominator Phone
Nominator Address 1
Address 2
City
State
Zip
Country
Nominator Title
Nominator Company
Δ