Henderson County Eco Heroes Nomination Form

Through the annual Henderson Eco Heroes Awards Program, the Henderson County Environmental Advisory Committee will recognize individuals in Henderson County that demonstrate actions of sound environmental practice. The goals for the program are to honor these individuals who can serve as an example and inspire others to preserve the environmental health of the County. Our hope is that this award will provide opportunities to bring environmental awareness to new people and demonstrate that a healthy environment improves the quality of life for all people.

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* 1. Nominator Contact Information:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Nominee Contact Information:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 3. Are you nominating for the ECO Hero award or ECO Hero Jr.?

ECO Hero (Adult)

ECO Hero Jr. (Youth)

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* 4. Relationship to Nominee:

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* 5. Nominee Employer (if applicable):

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* 6. Why are you nominating this person?

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* 7. What issues of sound environmental practice do they demonstrate (Examples: recycling, waste reduction, energy savings, water quality, habitat restoration, etc.)?

Henderson County Eco Heroes Nomination Form

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* 1. Nominator Contact Information:

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* 2. Nominee Contact Information:

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* 3. Are you nominating for the ECO Hero award or ECO Hero Jr.?

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* 4. Relationship to Nominee:

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* 5. Nominee Employer (if applicable):

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* 6. Why are you nominating this person?

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* 7. What issues of sound environmental practice do they demonstrate (Examples: recycling, waste reduction, energy savings, water quality, habitat restoration, etc.)?

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* 8. Anything else we should know about this nominee?