The nominee or nominator should submit a completeapplication form and return to the email address provided at the end of theapplication. All nominations must be received by September 22, 2017.

To be eligible to receive the Sustain OC 2017Cleantech Company of the Year Award, acompany must be classified as a “pure-play” cleantech company, and be eitherbased or have substantial operations in Orange County.

The independent panel of judges is comprised of individuals from throughoutOrange County with a keen interest and understanding of the cleantechindustry. All judges have been screened to ensure no conflicts of interest exist,and should a potential conflict arise, that judge will be recused fromparticipation. All materials andinformation submitted for consideration remainconfidential and will not be used for commercial purposes.

The winner will be presented with the Sustain OC2017Cleantech Company of the Year Award at the Sustain OC 2017 Conference and Expo on October 19, 2017, and will beprovided a complimentary membership with the organization for one year.Additionally, all finalists for the award will be invited to attend the Conference as guests of the Sustain OC Board of Directors.

Name of nominee company: ______

Business address: ______

City: ______State: _____ Zip: ______

Primary contact at nominee company:______Title: ______

Phone: ______Email: ______

General information

Attach written responses addressing all topics listed below. Submissionsthatdo not address every point within each section will be less competitive. These narratives are the most crucial aspect of the application and should shed light on why the nominee deserves this recognition.

About the nominee (300 words or less per question)

  • What is the technology and what problem(s) does it solve?
  • Who are the Managers? (Any attached bios not counted toward word count)
  • What sorts of obstacles has the company overcome to achieve their growth?
  • What investments/ partnerships have the company attracted since its founding?

Key Stats (300 words or less per question)

  • What is the history of the company?
  • Is the company based in Orange County, and if so, why did the company choose OC? If not based here, why has the company chosen OC as a market?
  • How many total employees does the company have? How many are based in OC?

Looking forward (300 words or less per question)

  • Explain how this company has designed and is implementing a business model that demonstrates a sustained capacity for growth.
  • Please highlight what sets this company apart from its competitors.

Nominator info (if other than nominee)

Name: ______Title: ______

Company: ______

Business Address: ______

City: ______State: _____ Zip: ______

Phone: ______E-mail: ______

Please return the completed application to:

Sustain OC

5141 California Avenue, Suite 250

Or email the completed application to:

Irvine, CA 92617

Release – In consideration of my participation in the Sustain OC 2016Cleantech Company of the Year Award, on behalf of myself I hereby release and forever discharge Sustain OC and its affiliates, and the sponsors and members of Sustain OC and their affiliates, partners, employees, and the independent panel of judges of and from any and all liabilities, claims, actions, damages, costs or expenses of any nature arising out of or in any way connected with any information or materials submitted in connection with this application or with my participation in the Sustain OC 2016 Cleantech Company of the Year Award, including any events, ceremonies, or promotional activities related thereto, as well as the determinations of the independent panel of judges.

Nominee/nominator’s signature: ______Date: ______

(Signature required for application to be considered.)