Nomination form – Sustainable Home Award
Nominee details
Full Name:Click here to enter text.
Home Address:Click here to enter text.
Postal Address(If different from above):Click here to enter text.
Phone Number(Business hours):Click here to enter text.
Email Address:Click here to enter text.
Is the nominee the owner, tenant or landlord? (Please circle/underline) Yes / No
Nominator details
Full Name:Click here to enter text.
Home Address:Click here to enter text.
Postal Address(If different from above):Click here to enter text.
Phone Number(Business hours):Click here to enter text.
Email Address:Click here to enter text.
Are you the owner, tenant, landlord or other?: (Please circle/underline) Owner/Tenant/Landlord/Other
Has the nominee agreed to be nominated? (Please circle/underline)Yes/No
Do we have permission to contact the nominee for further information? (Please circle/underline) Yes/No
Title of Project:Click here to enter text.
Project Address(If different from Nominee details):Click here to enter text.
Provide a brief summary of the project for promotional purposes (up to 50 words):
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About the Project
(Please keep your responses brief)
Describe how you have changed your house to incorporate sustainability:
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Describe any use of recycled or eco-friendly materials in your project:
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Describe how your project has incorporated energy efficiency:
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Describe how your project has incorporated water efficiency:
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Describe what you have done to minimise waste:
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Describe how your project has incorporated sustainable transport options:
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Describe how your project has enhanced your garden:
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Please provide any further information about your project you would like to share:
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Submitting your information
Please send your completed entry to:
Email:
Subject heading: Nomination 2016 2016 Practically Green Sustainability Awards
Mail: Practically Green Sustainability Awards 2016
Romney Bishop
Nillumbik Shire Council
PO Box 476
Greensborough VIC 3088
In person: Civic Centre
Civic Drive, Greensborough VIC 3088
Opening Hours: Weekdays 8.30am to 5pm
Marked: Attention Romney Bishop
Attachments: Please attach any drawings or photos separately.
If sending electronically, they must be in .tif, .gif, .pdf, or .jpg format.
Deadline
Nominations must be received by Sunday 31 July 2016
Further information
Contact Romney Bishop, Sustainability Officer, on 9433 3211 or .