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2003 Environmental Excellence Awards


Required fields are marked with *

Title of project/process/person nominated for Environmental Excellence Award
   

*Project Name/Process:

 

Project or Individual's name is required for form to process
*First Name:  
*Last Name:  
*Phone:  
Fax:  
*Street Address 1:  
Address 2:  
*City:  
*State:  
*Zip Code:  
*Email:  
   
Category (Choose One Category)
    Air Quality Improvement __
    Cultural and Historical Resources __
    Ecosystems Habitat, and Wildlife __
    Environmental Leadership __
    Environmental Streamlining __
    Environmental Research __
    Livable Communities __
    Nonmotorized Transportation __
    Recycling __
    Roadside Resource Management and Maintenance __
    Scenic Byways __
    Wetlands and Water Quality __
Name of Organization/Person Submitting entry
   

*Orgnaization Name/Person:

 

   
Organization or Individual's name is required for form to process
*First Name:  
*Last Name:  
*Phone:  
Fax:  
*Street Address 1:  
Address 2:  
*City:  
*State:  
*Zip Code:  
*Email:  
   
Project Dates (Starting and Completion dates)
   
*Date Started:  
*Date Completed:  
   
Name of Person/Organization to Receive Recognition
(More than one recognition Entry may be submitted)
   

*Organization Name /Person:

 

   
Organization or Individual's name is required for form to process
*First Name:  
*Last Name:  
*Phone:  
Fax:  
*Street Address 1:  
Address 2:  
*City:  
*State:  
*Zip Code:
 
*Email:  
   
Candidate Summary Attachments
   
*Candidate Summary:  (attach approx. 2 pages of text)

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