Champions of Change 2015

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Thank you for taking the time to nominate yourself or someone else as a Champion of Change for campus sustainability. Please be sure to secure consent from anyone you choose to nominate.

Nominee's First and Last Name *

If nominating a department or team, please indicate the name of the primary contact here and include the name of department or names of team members in the project desciption below.

Nominee's Department or Unit *

Nominee's Email Address *

Nominee's Telephone Number

Please select the nominee's primary affiliation with Wake Forest University *

Undergraduate student

Graduate student

Faculty member

Staff member

Other:

Required

Award Category for Nomination

Resource conservation (energy, water, or waste reduction)

Academics (teaching, research, engaged learning)

Service and social action

Bright idea (an innovative idea that has been or could be implemented)

Detailed Project Description *

Nominations will be evaluated based on: 1) the way(s) in which the nominee(s) has/have helped advance one or more of the WFU campus sustainability strategic goals, 2) the level of participation by colleagues within the department or unit, 3) measurable impact among constituents across campus (students, faculty, and staff) and 4) any additional information or data available to support the nomination. Please limit your project description to 1000 words or less.

Brief Project Description *

Provide a summary of your nomination to list on the Office of Sustainability website. Please limit this brief project description to 150 words or less.

Nominator's Name *

Nominator's Email Address *

Nominator's Phone Number *

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