Green Employee 2009 Nomination Form

Who is your nominee for Green Employee of the Year (2009)?

Please enter YOUR Name and Department.

To the best of your knowledge, how often does your nominee use reusable utensils at lunch?

Always

Usually

Occasionally

Never

To the best of your knowledge, how often does your nominee use his/her own mug or glass for water and coffee?

Always

Usually

Occasionally

Never

Does your nominee take advantage of alternative transportation (carpooling, biking, or riding the Metro)?

Yes

No

If yes, please list the specific mode of alternative transportation and how often they use this.

To the best of your knowledge, how often does your nominee attend Green Committee events?

Always

Usually

Occasionally

Never

Please list the specific events that your nominee attends.

Please describe one or two specific situations that illustrates how your nominee encourages recycling amongst fellow employee owners?

Is there anything “above and beyond” that your nominee does to “be green”?
Please explain or list here:

Green Nomination Form - 2010