| Nominator |
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| Name * |
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| Organization |
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| Function |
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| Phone * |
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| Fax |
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| E-mail * |
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| Date of submission |
(to be completed by the Award Office) |
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| Leader Nominee 1 |
| Name |
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| Organization |
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| Function |
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| Education and major professional milestones |
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| E-mail |
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| Please describe to what extent the nominee meets the criteria of credible commitment and recognized personal leadership regarding his/her contribution to the development, implementation and promotion of sustainability principles in his/her company and beyond |
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| Please describe his/her achievements in making sustainability work in his/her company and beyond (e.g. values and principles, programs, projects, solutions, products, services initiated by the nominee) |
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| Please comment on the reputation of the company the candidate is representing with respect to corporate responsibility/sustainability |
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| Leader Nominee 2 |
| Name |
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| Organization |
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| Function |
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| Education and major professional milestones |
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| E-mail |
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| |
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| Please describe to what extent the nominee meets the criteria of credible commitment and recognized personal leadership regarding his/her contribution to the development, implementation and promotion of sustainability principles in his/her company and beyond |
|
| Please describe his/her achievements in making sustainability work in his/her company and beyond (e.g. values and principles, programs, projects, solutions, products, services initiated by the nominee) |
|
| Please comment on the reputation of the company the candidate is representing with respect to corporate responsibility/sustainability |
|
| Leader Nominee 3 |
| Name |
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| Organization |
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| Function |
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| Education and major professional milestones |
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| E-mail |
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| |
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| Please describe to what extent the nominee meets the criteria of credible commitment and recognized personal leadership regarding his/her contribution to the development, implementation and promotion of sustainability principles in his/her company and beyond |
|
| Please describe his/her achievements in making sustainability work in his/her company and beyond (e.g. values and principles, programs, projects, solutions, products, services initiated by the nominee) |
|
| Please comment on the reputation of the company the candidate is representing with respect to corporate responsibility/sustainability |
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