JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CTAN CLIMATE TECH COO OF THE YEAR 2023
NOMINATION FORM
Nominees must be located in the Bay Area and be able to attend the award ceremony on Dec 13, 2023
We will accept rolling nominations until October 31
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Nominee (self-nomination is acceptable)
*
Your answer
Nominator's full name (if not self):
Your answer
Nominator's email (if not self):
Your answer
Nominator's LinkedIn URL (if not self):
*
Your answer
Nominator's relationship to nominee (if not self)
Your answer
Nominee's LinkedIn URL
*
Your answer
Nominee's company name:
*
Your answer
Nominee's company website:
Your answer
Nominee's email:
*
Your answer
Nominee's phone number:
Your answer
How will this company impact long-term decarbonization? If possible, please provide quantitative estimates.
*
Your answer
Describe three ways in which the nominee has contributed to their company's impact on decarbonization or their impact on climate change:
*
Your answer
Please share any identities that you hold that you would like us to know about.
Your answer
Other comments:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of climatetechaction.network.
Report Abuse
Forms