Energy Award Nomination

Energy Award Nomination Application

Please nominate your candidate by completing the form below. Briefly describe how your candidate has met the criteria of this award.

NOMINATOR

First Name

Last Neme

Organization name

Organization Address

Telephone

Twitter Handle

NOMINEE

Nominee First Name

Nominee Last Neme

Organization name

Organization Address

Nominee Email

Nominee Telephone

Nominee Twitter Handle

Description of Candidate (approx. 125 Words)

ADDRESS