Nomination Form

Required fields are indicated with *

Award Category * Air Quality Improvement Community Clean Up Invasive Plants Control Sustainability Waste Reduction & Recycling Water Stewardship Please select an item.
Nominee Information
Nominee Name * (individual, business, or organization)
Nominee Name is required
Organization/Company (if applicable)
Title (if applicable)
Address *
Nominee Address is required.
City *
Nominee City is required.
Telephone *
Nominee Phone is required.
Fax
Email *
Nominee Email is required.Invalid format.
Project Description/Reason For Nomination *
Project Description/Reason for Nomination is required.
Photo * - JPG, GIF and PNG files only, maximum 3MB filesize
Nominator Information
Nominator Name * (individual, business, or organization)
Nominator Name is required.
Organization/Company (if applicable)
Title (if applicable)
Address *
Nominator Address is required.
City *
Nominator City is required.
Telephone *
Nominator Phone is required.
Fax
Email *
Nominator Email is required.Invalid format.

The form may take a few minutes to submit depending on the size of photo selected, do not click the submit button more than once or navigate away from this page until you see the confirmation page.