Environmental Management and Business InstituteEMBI

Earth Caretaker Award Nomination Form

Please fill out the form as completely as possible. The process of selection for the Alumni Earth Caretaker Award is highly confidential. Please avoid notifying the individual concerning your nomination.

I. Nominee Information

Nominee's name:
Maiden name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Year of graduation: (if known)
Employer:
Position:

II. Nominee Supporting Information

As you complete this section, remember that this award recognizes overall activity and accomplishments in the area of sustainability and environmental management. While UW-Green Bay has many noteworthy graduates, not all have developed their reputations in these particular areas.

Career achievements in his/her field:

Community service activities:

Involvement in UW-Green Bay (please include both past and present):

Additional reasons why you feel this nominee should receive the award:

III. Nominator Information

Your name:
Address:
City:
State:
Zip:
Daytime phone:
E-mail:

Questions?

Contact EMBI Associate Director:
John Arendt at 920-465-2953 or arendtj@uwgb.edu

University of Wisconsin - Green Bay