Individual Achievement Award Nomination Form

Individual Achievement Award Nomination Form

All nominations must be received before January 2, 2026. Recipient(s) will be selected and awards will be presented at the 2026 Leadership Forum.

If details are not known about the nominee, please provide what you know about the individual to clearly identify why you are nominating them for recognition. Self-nominations will not be considered.

Nominee name*

First NameLast Name

Is the nominee a veteran?*

YesNo

Nominee's company of employment*

How has the nominee supported hiring and retention of veterans in the energy industry?

How has the nominee supported company/ERG veteran initiatives?

Please detail achievements and accomplishments the nominee has led or participated in that directly impact veterans.

How has the nominee supported veterans by providing a network of support or enhancing opportunities?

Any other notable items you would like considered as part of this award:

Nominator Name:*

First NameLast Name

Nominator company:*

Nominator email address: *

example@example.com

Nominator phone number:*

Please enter a valid phone number.

Please verify that you are human*