2009 Clean Air Campaign Awards Official Nomination Form

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Please complete all pages of the nomination form. NOTE: Only projects and programs that have been implemented between August 1, 2008 and July 31, 2009 are eligible. (One entry per form.) Entry deadline: Friday, August 28, 2009, 5:00 p.m.
SUBMITTING INSTRUCTIONS:
If sending large sample materials with your entry(ies), please save and print this entry form and mail with supporting documents to:
Valley Metro Clean Air Campaign Awards
302 North 1st Avenue, Suite 700
Phoenix, Arizona 85003
If submitting small files or supporting documents, please email this entry form and supporting documents to: .
FOR MORE INFORMATION:
Call 602.534.6472 or contact your Business Services Representative. Or, email questions to: .

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Information
Nominee (Individual or Organization)
Title
Company or Organization / Number of Employees
Address
City / State / Zip
Phone / E-mail
Nominator (Person submitting award)
Phone / E-mail
Company Single Occupancy Vehicle (SOV) rate (from Trip Reduction Survey results):
Most recent year measured: / Previous year measured:
Date
If the entry wins, how should the award be imprinted? (Only one individual name or organization can be listed.)
Name of person accepting award at luncheon
Title of person accepting award
Phone / E-mail
Description of the Program
Provide a maximum 250-word description of the program, project or person you are nominating. In addition, explain why you believe this entry should win (include any statistics you feel may assist the judges).
Category (Select one per entry)
Outstanding Transportation Coordinator
50-149 employees
150-499 employees
Over 500 employees – Public Employer
Over 500 employee – Private Employer
Outstanding Trip Reduction Program
50-149 employees
150-499 employees
Over 500 employees – Public Employer
Over 500 employee – Private Employer
Outstanding Marketing and Creativity
Electronic and/or Print Media
Marketing Event or Campaign – Under $500 Budget
Marketing Event or Campaign – Over $500 Budget
Bulletin Board
Outstanding Bike Program
Public Employer
Private Employer
Outstanding Commuter
Outstanding Transit Rider (Bus or Light Rail)
Outstanding Carpooler
Outstanding Vanpooler
Outstanding Bicyclist or Walker
Outstanding Multi-modal Commuter
Outstanding Leadership
Outstanding Telework Program
Best Telework Advancement
Outstanding Vanpool
MAG Livable Communities
People’s Choice – Best Photo
(E-mail photo entries along with 150-word summary to by August 21, 2009, 5:00 p.m.

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