Submit a Nomination

2021 RCBC Award Nomination Form

Deadline for Nominations is May 1, 2021.
For questions, please contact Jennifer Helman at jennifer@rcbc.ca.
Self-nominations are welcome.

* Indicates required field

Your Information

Name *

First

Last

Organization *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Nominee Information

Name *

First

Last

Organization *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Criteria (complete the following fields)

Length of Service or Project *

Demonstrated Innovations *

Demonstrated Leadership & Environmental Protection *

Demonstrated 3Rs, Zero Waste, or Circular Economy principles *

Exhibited Environmental Practices *

Level of Public Awareness *

Other Resources (i.e. news, articles, video links) *

Upload Supporting Document *

Max file size: 20MB

Social Media (Optional)

Instagram Handle *

Twitter Handle *

Please submit a Logo (if applicable) and up to three photos

Upload Logo *

Max file size: 20MB

Upload Photos *

Max file size: 20MB

Submit Your Nomination