Green Award Nomination Form

1

Nominator's Contact Information:

Nominator's Contact Information:

Name

Email

Phone

Address

2

Nominee's Contact Information:

 *

Nominee's Contact Information:

Name

Email

Phone

Address

3

Category

Category

Business

Community Organization

Green Building

Resident

School

Youth

4

Enter a brief one line summary.

Enter a brief one line summary.

5

Description of green practices undertaken or expanded by the nominee in the past year.

Description of green practices undertaken or expanded by the nominee in the past year.

6

How much did the nominee's activities reduce their environmental footprint?

How much did the nominee's activities reduce their environmental footprint?

7

Did the nominee's activities help achieve Lafayette's environmental goals?

Did the nominee's activities help achieve Lafayette's environmental goals?

8

Were the nominee's activities inspiring to others in the community? Can others adopt the same or similar practices?

Were the nominee's activities inspiring to others in the community? Can others adopt the same or similar practices?

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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