1. Please select
I'm entering myself I'm nominating (if nominating, please give full details of nominee below)

Business

Name

Address

Email address

Phone number

Nature of business

Number of employees

If you nominated someone, please include your contact details here:

 Please tick to confirm nominee is aware they have been entered for this award.

2. Which of the following areas have been covered by the project or green actions?
Please tick all that apply.

 Waste reduction and recycling (e.g. set double sided printing, reduce photocopying, use glasses/mugs rather than plastic cups, recycle waste products.)

 Energy saving (e.g. use energy saving bulbs, switch off equipments when not in use, reduce thermostat temperature, double glazing and other building insulation.)

 Water saving (e.g. hippos to reduce flushes, push taps, water leaking control.)

 Sustainable transport (e.g. working travel plans, cleaner fuelled fleet.)

 Sustainable procurement (e.g. use recycled paper, liaising with suppliers in the reduction of packaging waste.)

 Staff training, involvement and recognition (e.g. presentations or awards given to green champions, advice and demonstrations provided.)

3. Please describe the actions that have been taken to protect the environment.
Include anything that encourages suppliers, employees and customers to reduce their impact on the environment. For each action please mention when it was implemented.
Write a maximum of 250 words.

4. Please indicate the main outcomes of the green project or actions.
For example, describe how much resource you are saving, how much waste you have reduced/diverted to recycling, how many employees are now cycling to work. Write a maximum of 250 words.

5. Tell us about any future plans or long-term strategy to reduce the impact of the business on the environment.
Write a maximum of 250 words.

6. We may invite short listed businesses to participate in a short video we are making. It may help to highlight/publicise the business at no cost to you.
Please indicate here if you have any objection to this.

Yes, I agree to be filmed No, I don't wish to be filmed