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3. 2022 Sustainable Middleton Awards Nomination Form

   The Middleton Sustainability Committee has created this Sustainable Middleton Award program to recognize individuals, businesses, and organizations that have taken significant actions over the past year or more to help make a more Sustainable Middleton . These awards are also meant to inspire and motivate other residents, businesses, community groups, and non-profits to implement similar sustainable actions. Applications are due by January 31, 2023.

7. Please provide your contact information if you are nominating someone else. Otherwise, skip to the next section.
9. First Name
10. Last Name
12. Address1
14. City
15. State
16. Zip
18. Phone Number
19. E-mail address
23. Please provide the nominee's contact information
25. Name of Individual/Business/Organization Nominee
26. Name of contact person
28. Website of Nominee (if applicable)
30. Address1
32. City
33. State
34. Zip
36. Phone Number
37. E-mail address
41. Does the nominee know of this nomination?*
    -- Select One --YesNo
43. The following are examples of sustainability being considered:
45. Energy: Renewables, Efficiency or Conservation

    Honoring individuals, businesses, and organizations that undertake efforts to reduce energy consumption or increase renewables. Consideration is given to the level of investment, documented reduction/generation of energy, and/or greenhouse gas emissions.

    
    

47. Exceptional Land Use Steward

    Honoring individuals, businesses, and organizations that demonstrate their commitment to the improvement of the Middleton community by replanting, restoring, and reclaiming the urban environment into opportunities for social and natural renewal.

    
    

49. Environmental Education

    Honoring programs and projects that effectively teach children and adults how to learn about and investigate their environment and to make intelligent, informed decisions about how to take care of it.

51. Local, Sustainable, Healthy Food

    Honoring individuals, businesses, and organizations that demonstrate outstanding commitment to producing or promoting local, sustainable, healthy food.

53. Transportation Innovations

    Honoring individuals, businesses, and organizations that are improving fleets, alternative fuels, car-sharing, transit, biking, etc. on a day-to-day basis or in long-term efforts.

    
    

55. Waste Reduction, Composting or Recycling

    Honoring individuals, businesses, and organizations that contribute to waste reduction, the development of composting, or increasing recycling and its related infrastructure.

    
    

57. Water Quality or Conservation

    Honoring individuals, businesses, and organizations that demonstrated outstanding commitment to responsible water management and conservation of water resources.

    
    

61. Please summarize, in 150 words or less, the sustainability project/initiative. Be sure to include if the project/initiative served an underserved population and any partnerships formed as a result of the project/initiative:
63. Please describe, in 150 words or less, the outcomes or results of the sustainability project/initiative using specific examples, data, and/or other evidence:
65. Please include links to any press reports that described the project/initiative, such as news articles, photographs, web articles, newsletter articles, etc. If you do not have any press reports, news articles, etc., please put “None.” If the press reports are not accessible online, you may email them to the City contact listed. Please note that at minimum, one photo (in JPEG form) of the project/initiative is required and may be used in any publications about award winners.
67. Attach up to four photos here:
69. Photo 1
70. Photo 2
71. Photo 3
72. Photo 4
74. Has the nominee previously received any award(s) for this project? If yes, please explain. If not, please put “N/A.
76. Thank you for submitting your nomination for the 2022 Sustainable Middleton Awards Program!

    A subgroup of Middleton’s Sustainability Committee will be reviewing the nominations and announcing awardees in mid-April. Please feel free to contact Kelly Hilyard, khilyard@cityofmiddleton.us, if you have any questions.

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78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit

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