The ACEEE Buildings Champion of Energy Efficiency Awards

2012 AWARD NOMINATION FORM

ACEEE is proud to announce the opening of nominations for the 2012 ACEEE Champion of Energy Efficiency in Buildings Awards. Presented at the 2012 ACEEE Summer Study on Energy Efficiency in Buildings in Pacific Grove, California, these awards recognize leadership and accomplishment in the energy efficiency field. Winners will be selected based on demonstrated excellence in the categories of Research and Development (R&D), Energy Policy, Implementation and Deployment, and Leadership. Nominations will be made by peers and the final awards will be chosen by the ACEEE Board of Directors' Awards Committee. Thank you for taking the time to nominate outstanding individuals in the field of energy efficiency.

Please complete this form electronically. If you have any questions, pleasee-mail Mallory Werthamer at mwerthamer@aceee.org. Please return this form no later than FRIDAY, JUNE 1, 2012.

After you complete the form, please be sure to click the submit button at the end.

NOMINEE*

(Person/Company being nominated)

Nominee's Employer*

(If nominating a person)

Job Title*

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Office/Business Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

E-mail*

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Nominator*

(Person submitting nomination)

Employer*

(if nominating an individual)

Job Title*

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Office/Business Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

E-mail*

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Category or Categories

Energy PolicyImplementation and DeploymentLeadershipResearch & Development

Description: Describe , in detail, the nominee's achievements in the field of energy conservation.*

Sustained Impact: Describe, in detail, how the nominee's achievements have led to the institutionalization of energy efficiency in a way which will ensure lasting impact.*

Innovation: Describe, in detail, ways in which the nominee's achievements have been creatively unique and also distinquish the nominee from his/her peers.*

Leadership: Describe how the nominee has shown leadership among his/her peers in fostering the promotion of energy efficiency.*

Other Information: Describe any other information that you believe the selection committee should consider when evaluating this nominee.

The ACEEE Champion of Energy Efficiency in Buildings Awards