2017 Nomination Form for NADOA Membership Recognition Awards
I would like to nominate ___________________________________________ for the award(s) marked below:
_____ Interaction Award: Presented to the NADOA member or affiliated organization who has demonstrated leadership in the promotion of the profession to the industry and the community. _____ Education Award: Presented to the NADOA member who has achieved a level of unusual distinction in NADOA’s education activities, as demonstrated by their contribution of time and service to the betterment of Division Order professionals. _____ Lifetime Achievement Award: Presented to the NADOA member who has exemplified the Division Order profession through demonstrated leadership contributions to the industry and the profession during his/her career. _____ Russell Schetroma Memorial Speaker’s Award: Presented to an individual who has contributed to NADOA’s growth and development by speaking, educating and sharing knowledge on numerous occasions to the NADOA Membership, the Division Order profession and/or the industry during the past year. _____ Corporate Award: Presented to the group/company that has contributed the most to NADOA’s growth and development, the Division Order profession, and/or the industry during the past year. Please detail the nominee’s involvement in NADOA, the services they have performed and/or contributions they have made (You may attach a separate sheet if necessary). ________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________
Nominator: ____________________________________________________ (Please Print)
____________________________________________________ (Signature) ____________________________________________________ (Daytime Phone)
Send nominations to: Member Recognition Awards Committee, c/o Christie Taylor, Chesapeake Energy, P.O. Box 18496, Oklahoma City, Oklahoma 73154 or email to christie.taylor@chk.com . Nominations will be accepted through May 31, 2017
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