What sustainability initiative adopted by your organization, in

the last two years, distinguishes it from its peers?

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 2017Local Government of the Year Award, the applicant must be based in Orange County.

The independent panel of judges is comprised of Orange County individuals with an understanding of sustainability initiatives. Should a potential conflict arise, judgesmay be recused fromparticipation. All materials andinformation submitted for consideration remainconfidential and will not be used forcommercial purposes.

The winner will be presented with the Sustain OC2017Sustainable Governmentof 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 Conferenceas guests of the Sustain OC Board of Directors.

Name of nominee Organization:______

Address: ______

City: ______State: _____ Zip: ______

Primary contact at nominee Organization:______Title: ______

Phone: ______Email: ______

General information

Attach written responses addressing all topics listed below. Submissionsthat do 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 lessper question)

  • What is the sustainability initiative and what problem(s) does it solve?
  • What sorts of obstacles did the Organization overcome to begin this initiative?
  • Who are the Managers (any attached bios not counted toward word count)?

Looking forward (300 words or lessper question)

  • Explain how this initiative looks to increase efficiency/productivity and save money
  • What are the next steps?

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 2016Sustainable Government 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 2016Sustainable Government 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.)