Award Application Form
(Copy application form, complete form, and save as a Word document and send by email to Robert Newman, High Desert APWA Branch President or mail application form to: City of Santa Clarita, Attn: Robert Newman, 23920 Valencia Blvd. Ste 225, Santa Clarita, CA 91355)
(Date of Application)
Award Category applied for:
___ Outstanding Public Works Project of the Year
___ Outstanding Public Works Employee of the Year
___ Best Use of Technology
___ Best Improvement for Public Safety
___ Innovative Design of the Year
___ Best Environmental Project
Name of Employee, Project, Program, or Design: ?
Reason for Nomination (description): (maximum of one page of description and three pages of backup information)
Mailing Address: ?
Sponsor's Data (must be an APWA High Desert Branch member):
Phone Number: ?
Fax Number: ?
Email Address: ?