Back to Veterans in Energy Hart Energy’s “25 Impactful Veterans in Energy” Honoring Leadership Skills and Commitment to Service Nomination Form Indicates required field Nominee Name Company Title Phone Email Website How has the nominee made an impact and proven themselves a leader within their organization or the industry? Please provide details of the nominees military career – branch of service, years served, significant decorations, and theatre(s) of operations (Vietnam era and beyond): Please list the nominee’s professional awards, honors and other forms of recognition during their civilian career: Please describe how the nominee is “paying it forward” within the veteran community: Please state why this person should join “25 Impactful Veterans in Energy” as an honoree: Links to supporting materials Please attach resume and/or bio. One file only.100 MB limit.Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Submitted by Company Title Name Email Phone Relationship to nominee What code is in the image? Enter the characters shown in the image.