Environmental Awards | City of Burnaby

Environmental Awards nomination form

Our Environmental Awards Program recognizes the outstanding environmental achievements of individuals, community groups, businesses and organizations in Burnaby.

Help us recognize Burnaby's environmental leaders by making a nomination today!

Nominee information

Name

Phone

Address

Award category

Business stewardship

Communications

Community stewardship

Green choices

Planning and development

Youth

Description of the nominee's environmental service achievements including:

roles and length of service
supporting documents and/or links
how achievements are linked to the City of Burnaby’s ESS themes and Climate Action goals

Attach background material if applicable (photos, news, articles, drawings, plans, etc.)

Maximum 3 files.
45 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

References

Please provide name and contact information of two references that have knowledge of the nominee's environmental achievement(s).

Reference #1

Name

Phone

Address

Reference #2

Name

Phone

Address

Nominator information

Your name and contact information.

Name

Phone

Address

Your Privacy

Your personal information is being collected and used for the purpose of contacting you regarding your environmental award nomination and will be managed in accordance with s. 26 (c) of the Freedom of Information and Protection of Privacy Act. Nominations received will be shared with Council. For questions regarding the collection of your personal information and receipt of electronic messages, please contact Marketing and Corporate Communications at [email protected].