2016 Manufacturers Appreciation and Awards Dinner

Environmental Stewardship Award

Award Application Submission Form

Deadline: September 22, 2016

SVAM welcomes applications for awards to be presented at

the 2016 Manufacturers Appreciation and Awards Dinner on October 6, 2016.

These awards recognize significant industry accomplishments as they positively impact the community.

Date: ______

CONTACT INFORMATION:

Company Name: ______

Contact Person’s Name/Title: ______

Phone Number: ______

Email: ______

Mailing Address: ______

CRITERIA:
Please refer to the following questions and provide a detailed response to those questions that are applicable. We are specifically looking for a project/process that was implemented at your company to achieve environmental stewardship.

  1. Describe the project (who, what, where, and when) and how it was conceived and implemented.
  1. Describe how this project benefits the environment and the community, as well as the various aspects of environmental restoration or stewardship it addresses.
  1. In what way(s) is the project unique? (i.e. Does it extend into a novel or neglected area of environmental protection, conservation, management or stewardship?)
  1. How will the environmental benefits of the project continue to be maintained in the future?

Please explain why you believe you are deserving of this award. This response should be as inclusive as possible. Include examples and specifics. Use as much space as you need.

If you were to win this award, what is one think you would want the community to know about this award/your company.

SCORING:

Environmental/Community Benefits (50%)

Uniqueness of Project(25%)

Continued Benefits (25%)

List references or contacts that may be useful if the evaluators need additional information.

You may submit up to three pages, total, of supporting information to include charts or pictures.

Send nomination forms to Lennie Gail Mitcham, SVAM Executive Director at or through fax at (276) 698-3152.

For any questions, please call the SVAM office at (276) 492-2100.