2025 Awards - Biography Form

Please fill out this form online or download the fillable PDF and email to mwea@mi-wea.org

* - Required Field

First Name *

Last Name *

Email *

Please enter the name of the award: *

Enter your name as you would like it to appear on the award: *

Your address: *

Phone number: *

Please select one: *
Choose 1

Current Organization: *

Location: *

Title: *

Duties: *

Supervisor: *

Supervisor contact information: *

Number of years in this position: *

Number of years with this company:

Please select to enter your prior position information.

Licenses or Certifications:

Accomplishments:

Awards:

College:

Degrees:

Member of:

Please list your family members, hobbies, and anything else you would like to list:

Please select to enter your local newspaper information

Your headshot may appear in MWEA’s social media announcements, printed materials, signage, and other platforms used to celebrate your achievement. Please ensure your photo is clear and professional.

Here are some tips/guidelines on your submission:

Professional headshot (shoulders up)
High-resolution JPG or PNG
Neutral background & good lighting
Business or business casual attire
Save as: Firstname_Lastname.jpg (ex: Jamie_Smith.jpg)

Please upload your headshot here