NEIGHBORHOODENVIRONMENTALPARTNERS

2017APPLICATIONFORM

Activitiescompletedin 2016are eligible for recognition under the 2017NeighborhoodEnvironmentalPartners(NEP)Program. Applicationswillbe accepted throughMonday, February 29,2017. The complete listingof2017 NEP recognized projects willbeannouncedinAprilof2017. Facilities, communities, and any other entities are all eligible to apply for NEP recognition.

Each project must have its ownapplication. Applicationsrepresentingmultipleprojects will not be accepted.

Pleasecompletethisformandproviderequiredinformationlistedbelow. Applications submitted without this form will not be accepted.

NEP PROJECT NAME
PROJECT TYPE (EXAMPLE: EDUCATION, IMPROVEMENT, MENTORING,ETC.)
PROJECT PARTNERS
MAILING ADDRESS (number and street)
CITY
/ STATE
/ ZIP CODE
/ COUNTY
NAME/TITLE OF CONTACT PERSON
/ E-MAIL / TELEPHONE NUMBER (include area code)
LOCAL NEWSPAPER OR MEDIA OUTLET / WEBSITE OR SOCIAL MEDIA ACCOUNTS FOR PROJECT (IF APPLICABLE)

Allapplicantsmust submit thefollowing:

  • Adetailednarrativeoftheenvironmentalprojectrespondingtothefollowing:
  • Project goals or objectives
  • Project date(s) and location(s)
  • Description of project
  • Description of partner involvement
  • Ongoingand/or futurecommitments
  • At least one high quality photograph of the event or activity
  • A short testimonial from one of the participants, organizers, or volunteers

“Most Outstanding Project Award”:

The2017MostOutstandingProjectAwardwillbeselectedbased on the following set criteria: innovativeness, level of detail in application, project replicability, involvementlevel ofallpartners, and active learning components (not just volunteering).

DEQ Environmental Assistance Center

Phone: 800-662-9278EQP 3490 (Rev. 10/16)

"Ihavereviewedthisapplicationanditsattachmentsfor accuracytoensuretheproject meets therequirementsfor receivingNeighborhoodEnvironmentalPartnerrecognition. I certifythatthisprojectwasimplementedasdescribed."
NAME/TITLE OF RESPONSIBLE OFFICIAL (printed or typed)
/ TITLE
SIGNATURE / DATE
E-MAIL / TELEPHONE NUMBER (include area code)

Sendyourapplicationandnominationsto(electronicsubmissionspreferred):

Devan Dodge

NEPCoordinator

MDEQ-OfficeofEnvironmentalAssistance

P.O.Box30457

Lansing, Michigan 48909-7957

EachNEPapplicationwillbeevaluatedbytheDepartmentofEnvironmentalQuality(DEQ). OnlyapplicationsreceivedpriortothedeadlineofFebruary29, 2017willbeeligiblefor2017recognition. TheDirectoroftheDEQreservestherighttomakethefinaldecisiononallcommunityprojectsreceivingrecognition. Allsuccessfulapplicantsalongwithallidentifiedpartneringorganizationswillreceiverecognitionintheformofacertificateidentifyingtheirproject. AnNEPcertificateofrecognitionforeachpartnerwillbemailed totheprojectcontact.

Foradditionalinformation,pleaseseethe current listing of NeighborhoodEnvironmentalPartnersat:

.

DEQ Environmental Assistance Center

Phone: 800-662-9278EQP 3490 (Rev. 10/16)