26th Annual Mayor's Proud Partner
Awards Nomination Form

Deadline for Form: Friday, August 20, 2010

Incomplete submission will not be considered.

Submissions will be evaluated on the following Criteria:

• Any program, project or individual effort completed during the last year to create a cleaner, more beautiful environment is eligible.

Nominee Information

Nominee Type:	Individual Project
Last Name: *		First Name:
Sponsoring Group or Organization:
Address:
City:		State:	AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY	Zip:
Bus. Tel.:		Fax:		Home Tel.:
E-mail: *		E-mail Confirmation:

For Correspondence (If other than nominee)

Last Name:		First Name:
Organization/Company Name:
Address:
City:		State:	AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY	Zip:
Bus. Tel.:		Fax:		Home Tel.:
E-mail:		E-mail Confirmation:

Project Summary

Background: * (Brief history or background of the individual, organization or company performing the project.)

Benefits: * (List of resulting benefits to the community. Include relevant statistics.)

Partners and Volunteers: * (List your partners & volunteers and describe their level of involvement in your activities.)

Impact: * (List how your activities improved, beautified and preserved the visual aspects of your coummity, or helped to change people's attitudes and behaviours, or minimized the impact of waste and promoted responsible waste handling.)

Funding: * (Description of the project's total budget and fund raising method.)

Continuation: (If applicable, an explanation of how the project will continue in the future.)

Images / Documents

(To view full size image / document, click on the image thumbnail.)

Document 1 Document 2 Document 3 Document 4 Document 5

Document Upload Instructions: To upload an image or PDF, select the image number you want to upload, click browse to specify the location of the image / document from your computer, then click the Upload button below. Document 1 Document 2 Document 3 Document 4 Document 5

Guidelines

• This nomination form must be fully completed.
• Graphic documentation to enhance the written summary is encouraged. Please upload these to this form (see 'Images / Documents' section above) or send by regular mail if necessary. Examples of graphics to include are:
• Photographs - digital or prints, showing before and after images of your complete project.
• Press clippings or brochures about the project.
• Winners will be notified by e-mail.
• Awards will be presented at the Mayor's Proud Partner Luncheon on November.