eua/igem gas industry awards 2015 - nomination form
DESCRIPTION
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NOMINATION FORMI wish to make a nomination for the 2015 Gas Industry Awards for the category indicated below
(please place a tick in the appropriate box and use a separate form for each nomination)
INDIVIDUAL OR COMPANY BEING NOMINATED
Name ______________________________________________________________ Dr/Mr/Mrs/Ms/Other ______________________
Title, Decorations _____________________________________ Quali� cations ___________________________________________
Company and Address _________________________________________________________________________________________
_______________________________________________________________________________ Post Code ___________________
Telephone _______________________ Fax ____________________________ Email _____________________________________
REASONS FOR NOMINATION – Up to thirty words to form the basis of the citation
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
FOUR BULLET POINTS DETAILING ACHIEVEMENTS OR OTHER CRITERIA FOR ASSESSMENT
A __________________________________________________________________________________________________________
B __________________________________________________________________________________________________________
C __________________________________________________________________________________________________________
D __________________________________________________________________________________________________________
Other supporting information to assist the Judges to reach a decision
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
___________________________________________________________________________ (please continue on a separate sheet, if necessary)
NOMINATOR:
Name _____________________________________________________ Title ____________________________________________
Address _____________________________________________________________________________________________________
Postcode ________________ Telephone* _______________________ Email* __________________________________________
Context in which Nominee is known _____________________________________________________________________________
Signature ________________________________________________________ Date _______________
Manager of the Year
Company of the Year
Engineer of the Year
Gas Industry Leadership
Gas Industry Safety Award
Young Person’s Achievement
Gas Industry Innovation Award
Energy E� ciency
Customer Service Award
NOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORMNOMINATION FORM
* This information will be used to contact nominators so please provide direct contact informationPlease send completed forms to: Gas Industry Awards 2015, Institution of Gas Engineers and Managers, IGEM House, High Street, Kegworth, Derbyshire, DE74 2DA
marked “Awards Nomination - Con� dential” E-mail address: [email protected]
CLOSING DATE FOR NOMINATIONS TO BE RECEIVED: Friday 27th February 2015
A copy of the Award Scheme Rules and Notes for Guidance is available on the IGEM Website: www.igem.org.uk or on request by e-mail to [email protected]: 0844 375 4436 Institution of Gas Engineers and Managers, IGEM House, High Street Kegworth, DE74 2DA Registered Charity No 214011
2015
2015
Organised by:
2 colour
Pantone 021
Pantone 653
3 colour
Pantone 021
Pantone 653
Pantone 658
Manager of the Year
Engineer of the Year
Leadership Award
Safety Award
Young Person’s Achievement
Innovation
Energy Efficiency
Company of the Year
Customer Service
NOMINATIONS
NOW OPENDownload your nomination form at
www.gasindustryawards.com
Closing date for entries 27 Feb 2015
2015 CATEGORIES