The White House Closing the Circle Awards
2009 Nominations 
Deadline: January 30, 2009 	
 	
REGISTRATION PROCESS: 
Step 1: Complete Nomination Application Form & Append Nomination Narrative ---> 
Step 2: Upload Completed Nomination Document ---> 
Step 3: Review ---> Step 4: Receipt	

Instructions: This is the first of four steps.  

Step 1: Complete the nomination form below.

Then, please type or copy/paste your Nomination Narrative between the two lines indicated on page 3 below. (Remember: Narrative is limited to 4 pages and 1.5MB in size including any embedded images or it will not be accepted) 

When this file is completed, return to the online application and proceed with Step 2: Upload Completed Nomination Document.	

Please note: for your assistance, sample entries appear to the right of each field below. 	
	
Agency	

Field Activity	
Name:	 		US Camp Swampy	
Location:	 		Nowhere, AZ	
 	
Award Category (choose only one)	
 	 	Waste/Pollution Prevention
Recycling
Green Purchasing
Environmental Management Systems
High Performance/Sustainable Buildings
Electronics Stewardship
Alternative Fuel and Fuel Conservation in Transportation	
 	
Nominee	
 	 	Team Nomination
Individual Nomination 	
Team/Individual:	 	
Complete name as it would appear on the award certificate.
For Team: Indicate only the name of the team (not individuals) not to exceed 6 words in length.	Individual: Mr. Stephen Jones
Team: Camp Swampy P2 Team	
 	
Title of Nomination (i.e. "Closed-Loop Used Oil Recycling")	
 	 	
Note: Complete title as it would appear on the award certificate. Title must not exceed 6 words in length.

	
 	
Nomination Narrative	
Please type or copy/paste your "Nomination Narrative"  between the two lines indicated on page 3 below
•	Size: not to exceed 4 pages and 1.5 Megabyte (including any embedded TIFF, GIF, or JPG images) 
•	Font: size 12, Times New Roman or equivalent font. 
Recognizing that compliance with environmental regulatory requirements is a fundamental responsibility of the Federal agencies and Federal employees at all levels, each applicant will be subject to a review of background information on their environmental regulatory compliance status and enforcement history. This process will include consideration of information in the Environmental Protection Agency's Online Tracking Information System (OTIS) which is available online at: http://www.epa-otis.gov/otis/  (click this link for help in using OTIS) as well as other available compliance and enforcement information. Applicants should review their compliance status and history prior to submission and may provide information for consideration in the compliance screen where they believe the OTIS data is incorrect. In general, chronic non-compliance and/or recent or ongoing criminal or certain civil enforcement activity will be considered a basis for disqualification.
Beginning in 2009, where the application involves activities at a Federal facility or installation, the application must affirm that the compliance information on the OTIS system for the relevant facility or installation has been reviewed and concur with the information presented. Applicants may elect to non-concur and provide information for consideration in the compliance screen where they believe the OTIS data is incorrect or not applicable to the application.

Please proceed to page 3	

Please type or copy/paste your Nomination Narrative between the two lines below.

End of Nomination Narrative 

OTIS Compliance Review Statement	

I have reviewed my facility’s or installation’s compliance information on EPA’s OTIS system within the past thirty (30) days and CONCUR with all of the information presented. 

 I have reviewed my facility’s or installation’s compliance information on EPA’s OTIS system within the past thirty (30) days and DO NOT CONCUR with all of the information presented.

If you DO NOT CONCUR with all of the information presented about your facility or installation on EPA’s OTIS system, please explain why you believe the OTIS data is incorrect or not applicable to the application (max 255 characters):

Save this document with a unique name.

Continue to Step 2 – Upload Nomination	

CTRL + Click the following link to return to the online system to upload this completed Nomination Document: 
2009 White House Closing the Circle Awards