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Nominee Information provided on this application will be (City of Rockville)

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City of Rockville
Environmental Excellence Awards
Nomination Form
Nominations are accepted year -round on a rolling basis. Anyone is eligible to nominate or
endorse a deserving individual, organization, business, public agency, student,
educational institution, or program for an award. For questions, please contact Rockville
Environmental Management at environment@rockvillemd.gov or 240-314-8870.
Nominee
Information provided on this application will be used to produce awards and generate press releases
for selected winners. When completing this form, please ensure that individual/group nominee
names and organizations are accurate and complete.
Nominee Name(s) (Person, Business, or Organization):
Name of Project/Program/Achievement:
Project website (if applicable):
Primary Contact Name:
Title:
Email:
Day Phone:
Mailing Address:
Nominator
If the nominator is different from the nominee, please provide your contact information for
questions or updates.
Nominator Name:
Affiliation:
Email:
Day Phone:
Mailing Address:
12/2018 2
Award Categories
Please select one category:
Outstanding Individual Environmental Stewardship
Outstanding Leadership in Environmental Practices
Outstanding Achievement in Green Building Technology/Design
Outstanding Environmental Education and Academic Achievement
Nomination
Please describe the candidate(s) and the accomplishments to be considered for award (maximum
two pages). What was the environmental problem or achievement and how did the candidate and/or
project work to find a solution? What was the benefit to the environment and community? Did the
candidate partner with other people/ organizations? How long did the project take? Is the project
ongoing or will it serve as a model for others? What were the lessons learned? How does the
project contribute to the long-term environmental health and sustainability of Rockville? What are
the measurable impacts of the effort?
Documentation
Please include supporting documentation, such as photos, articles, videos, metrics, project
information, letters or endorsements that will assist in the review of the application. Please note that
materials submitted may not be returned.
Documentation attached
Submission
Submit the nomination form and supporting documentation to one of the following:
Email: environment@rockvillemd.gov
Mail: City of Rockville Environmental Excellence Awards
Environmental Management, Public Works
111 Maryland Avenue
Rockville MD 20850
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Completed 4 August 2020

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