On-Line Entry Form
City of Raleigh Environmental Awards

Nominations for the 2010 Raleigh Environmental Awards are being accepted until January 15, 2010.
Before submitting this form, please review the award selection criteria, and guidelines posted at http://raleighnc.gov/EnvironmentalAwards.

Note that nominees may apply in only one category. In completing the nomination form, be sure you fill in all required fields (marked with an asterix (*).

Good luck, and thank you for submitting this nomination.
Project Nomination
Award Category*
Project / Individual / Organization
Name
Affiliated Organization / Individual Name (if applicable)

Project Address*
Street Address
City
State
Zip Code
Additional Nominee Information*
Phone (daytime)
Email Address
Website (if applicable)
Please describe the Project / Individual / Organization in the space below and how your entry meets the Selection Criteria

Nominator Information
Nominator Name*
First Name
Last Name
Address*
Street Address
City
State
Zip Code
Contact Information
Please provide the names of two additional individuals who are familiar with the project or person being nominated.
Contact 1*
First Name
Last Name
Phone (daytime)
Relationship to nominee
Contact 2*
First Name
Last Name
Phone (daytime)
Relationship to nominee
Supporting Materials
After this form has been completed and submitted, an automated form submission response will remind you to forward digital photographs and additional support documentation to Environmental.Awards@ci.raleigh.nc.us.

You may e-mail up to five items to support your nomination. Please limit this material to items that address aspects of your work that could not be adequately described using the online form, for example news releases, media clippings, digital photos (72 dpi), reports or publications.
Contact information
The personal information collected in this form will be used to contact the nominee regarding their participation in the City of Raleigh Environmental Awards. It may also be used to advise nominees of the City of Raleigh Environmental Awards in following years. If you do not wish to be contacted for that purpose please indicate below:
How did you learn of the awards?*

May we contact you about next year’s awards?*