18th Annual STA Awards 2015

Nomination Form

1.  Nominee: (Please provide contact information for nominated individual, agency, group or organization.)
Name of Nominee, Agency, Business, Program, Group or Contact Person:
Phone / Email
Agency / Organization
Address
City / Zip

2. Nomination Category:

1. Advisory Committee Member of the Year / 6. Safety Project of the Year
2. Business of the Year / 7. Project of the Year
3. Transit Employee of the Year / 8. Project Delivery
4. Safe Routes to School / 9. Partner of the Year
5. Transportation for Sustainable Communities / 10. Agency of the Year
3. Description of Program / Activity / Project: (Briefly describe your reasons for nominating the individual, program, activity, or project. Please include any specific information that may apply, such as: an individual's performance and whether the person was a volunteer or not; the number of people who worked on the activity; number of hours spent on the project; and/or the number of people served or affected. Include any photographs or other materials that will contribute to making the award decision.)
4. Describe the timeframe of a particular action by the nominee or when the program took place: (If applicable, indicate when the program or activity was completed or if it is ongoing)
NOTE: the nominated person, plan, project or program is being recognized for an action or event that took place between September 20, 2014 and September 18, 2015
5. Describe the results and/or significance of the program, activity, or project: (Describe the significance of the project or program with regards to how their action or program contributed to the transportation system in Solano County and what impacts the person/project had on those served.)
6. Person Submitting Nomination
Name / Title
Phone / Email
Agency / Organization
Address
City / Zip

Please email this form (as a Word document) and attached supporting photos (jpg format) and documents to by Friday, September 4th, 2015.

For additional information, contact Jayne Bauer at (707) 424-6075.

Solano Transportation Authority, One Harbor Center, Suite 130, Suisun City, CA 94585

Page 2