Pool & Hot Tub Alliance Greg Garrett Scholarship Award: Recommendation Form

Dr. R. Neil Lowry Grant Nomination Form

Deadline: Please submit this completed form by Friday, August 8, 2025.
Part I. Information To Be Filled Out by Nominator
Check one of the following:
Name of Person Submitting This Form:*

First NameLast Name
Title*
Title
Department*
Company Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Part II. Complete This Section If Nominee is a Public Health Official.
Check box if nominating himself/herself:
Name of Individual Being Nominated for Dr. R. Neil Lowry Grant:

First NameLast Name
Title
Title
Department
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Phone Number
Please enter a valid phone number.
Part III. Complete This Section If Nominee is a Public Health Department.
Department Being Nominated for Dr. R. Neil Lowry Grant:
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Phone Number
Please enter a valid phone number.

Dr. R. Neil Lowry Grant Nomination Form