1. Award Category: (select one)

Asset Management
Sustainability

2. Entry Title:

3. Contact Information: The person listed below has active responsibility for the development and/or implementation of this nomination. All correspondence related to this entry will be directed to this individual.

Name:

Title:

Department/Agency:

Office/Service/Division:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Email:

4. Authorizing Official's Certification and Signature: Agency official sponsoring the nomination (at a minimum, must be one level higher than team members - see submission requirements).

Name:

Title:

Department/Agency:

Office/Service/Division:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Email:

5. Team Members: If this is a team submission, in addition to the person identified in item 3 above, please list the other team members responsible for the project.  These individuals will share in the monetary award.  If additional space is required, please forward that information to gsarealproperty.awards@gsa.gov.

Name:

Title:

Department/Agency:

Office/Service/Division:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Email:

Name:

Title:

Department/Agency:

Office/Service/Division:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Email:

Name:

Title:

Department/Agency:

Office/Service/Division:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Email:

Name:

Title:

Department/Agency:

Office/Service/Division:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Email: