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Virginia
Aviation Awards
Nomination Forms
Airport Manager of the Year
Person of the Year
Lifetime Achievement Award
The nominated individual must currently be or have been within the last year (June 1, 2013 - June 1, 2014) the manager of a
public use airport in the Commonwealth of Virginia. Please include a description of the nominees experience, background
information, achievements, special projects or other accomplishments this person is responsible for within the last year.
Nominee Information
Name _________________________________________________________
Title______________________________
Mailing Address _________________________________________________________________________
______________________________________________________________________
City
Zip
Telephone Number (_______)______________________________
Home Airport ____________________________________________________________________________
Significant Achievements made by this individual during the year 2013-2014:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Nominator Information
Name _________________________________________________________
Title___________________________________________________________
Telephone Number (_______) ____________________________________
Email _________________________________________________________
Please attach any additional information to this form and submit to: Virginia Department of Aviation,
Attn: Virginia Aviation Awards, 5702 Gulfstream Road, Richmond, Virginia 23250-2422.
The deadline for receiving nominations is May 23, 2014.
The nominated individual must have made significant contribution(s) to aviation in Virginia within the past year
(June 1, 2013 - June 1, 2014). Nominees may have made contributions in any area of aviation and are not limited to airport
employees only. You can nominate a pilot, flight instructor, airport technician, aviation educator or anyone who
contributed to aviation safety, aviation policy, airport development, services, improvements or community relations.
Nominee Information
Name _________________________________________________________
Title______________________________
Mailing Address _________________________________________________________________________
_________________________________________________________________________________________
City
Zip
Telephone Number (_______)__________________________
Work number (_______)______________________________
Home Airport _____________________________________________________________________
Significant Achievements made by this individual during the year 2013-14:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Nominator Information
Name _______________________________________________________
Title_________________________________________________________
Telephone Number (_______)________________________
E-Mail _______________________________________________________
Please attach any additional information to this form and submit to: Virginia Department of Aviation,
Attn: Virginia Aviation Awards, 5702 Gulfstream Road, Richmond, Virginia 23250-2422.
The deadline for receiving nominations is May 23, 2014.
The nominated individual must have an established history of making significant contributions to aviation in Virginia
over a period of years. Nominees may have made these contributions in any one or multiple areas of aviation.
(examples: airport development, services, improvements, or community relations, aviation education, promotion, or
safety; aviation technology; aviation policy; etc.)
Nominee Information
Name _________________________________________________________
Title______________________________
Mailing Address __________________________________________________________________________
__________________________________________________________________________________________
City
Zip
Telephone Number (_______)___________________________
Work Number (_______)________________________________
Home Airport _________________________________________
Significant Achievements made by this individual:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Nominator Information
Name _________________________________________________________
Title___________________________________________________________
Telephone Number (_______)__________________________
E-Mail _______________________________________
Please attach any additional information to this form and submit to: Virginia Department of Aviation,
Attn: Virginia Aviation Awards, 5702 Gulfstream Road, Richmond, Virginia 23250-2422.
The deadline for receiving nominations is May 23, 2014.