Required fields are marked with asterisks (*)

Environmental Stewardship Award Nomination

Thank you for nominating an individual, business, or not-for-profit organization for the Environmental Stewardship Award. This Award recognizes outstanding efforts in promoting sustainability and environmental stewardship in the Town of Amherstburg.

Category

Nominee Information

Name of Nominee:

Nominee’s Address:

Nominee’s Email Address:

Nominee’s Telephone Number:

NOMINATOR INFORMATION (if you are submitting this nomination on behalf of someone else, please provide your details below)

Name of Nominator:

Relationship to Nominee:

Nominee’s Email Address:

Nominee’s Telephone Number:

Submission Details
For each section below, please explain how the nominee demonstrates each criterion. Provide specific examples to detail how the nominee has contributed to environmental efforts within the community. A separate sheet may be attached if needed.

Commitment and Impact

Describe how the nominee demonstrates a long-term commitment to environmental sustainability and promotes sustainable living and conservation.

Community Impact

How has the nominee worked with others to advance/advocate for sustainability initiatives and what measurable impact have their efforts had on the community?

Innovation and Leadership

Provide examples of how the nominee has implemented creative and effective solutions to environmental challenges and has shown leadership in their efforts.

Submission Confirmation

I confirm that the information provided is accurate and true to the best of my knowledge.

I give permission for the Environmental Stewardship Award Committee to contact the nominee for further information if needed.

Forms

Environmental Stewardship Award Nomination

Category

Commitment and Impact

Community Impact

Innovation and Leadership