Environmental Awards nomination form

Our Environmental Awards Program recognizes the outstanding environmental achievements of individuals, community groups, businesses and organizations in Burnaby.

Help us recognize Burnaby's environmental leaders by making a nomination today! 

Nominee information

Nominee contact information
Award category
Maximum 3 files.
45 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.


Please provide name and contact information of two references that have knowledge of the nominee's environmental achievement(s).
Reference #1
Contact Information
Reference #2
Contact Information 2

Nominator information

Your name and contact information.
Nominator contact Information
Your Privacy

Your personal information is being collected and used for the purpose of contacting you regarding your environmental award nomination and will be managed in accordance with s. 26 (c) of the Freedom of Information and Protection of Privacy Act. Nominations received will be shared with Council. For questions regarding the collection your personal information and receipt of electronic messages, please contact Marketing and Corporate Communications at [email protected].