SAEE Confederation Annual Energy Awards 2018 Nominations

This form is for The Southern African Association of Energy Efficiency Confederation l Award Nominations. Please select the Award Category below and fill out all required information. Nominations must be submitted no later than the close of business on October 31, 2018

Nominee Information

Nominee: Name of Project Nominated: *

Summarize in 100 words or less why this nominee should be considered for this award (the opportunity to give full details will be offered below.) *

Estimated Energy Savings of Project (kWh; kW; BTUS; etc.) UNITS MUST BE STATED: *

Name of Company Where Facility Installed: *

Location of Company Where Facility Installed: *

Name of Company Managing Project (If Different from Above):

Suffix of Individual Who Would Accept Award on Behalf of Corporation, Agency or Organization: *

Name of Individual Who Would Accept Award on Behalf of Corporation, Agency or Organization (Last, First): *

Nominee Credentials (C.E.M., P.E., etc.): *

Nominee Position *

Nominee Company: *

Nominee Address: *

Nominee City: *

Nominee State / Province / Country: *

Nominee ZIP or Postal Code: *

If your country does not have zip codes, enter 00000.

Nominee Business Phone: *

Nominator Email: *

Nominee SAEEC Status: Please select from the dropdown menu. (Nominee is not required to be a member of SAEEC.) *

DESCRIPTION OF CANDIDATE'S QUALIFICATIONS: Use this box to detail the specific reasons your candidate should receive an SAEEC Award. Please limit this narrative to as close to 600 words as possible. Note: No links or references to websites will be considered.
Nominee will be required to verify statements made in this nomination prior to being confirmed as a winner.

Metrics

Although the award is based on the depth of the overall write-up, we request that, where possible and where appropriate, the application provide the specific metrics shown below. However, if the metric doesn’t apply to this award, leave it blank.

Length of Time Project Has Been Operational (Six Months Minimum Required):

Years in Program: (Show Active Years Only)

Dollars Saved:

Project Costs:

Annual Energy Saved: (Show Units) kWh, Therms and/or BTUs; kW Produced (UNITS MUST BE STATED)

Total Energy Saved: (Show Units) kWh, Therms and/or BTUs; kW Produced (UNITS MUST BE STATED)

Baseline Energy Usage: (Show Units)

Size/Scope: Building ms, Number Sites, People (UNITS MUST BE STATED)

Other:

File Upload

Up to two electronic photos or graphics may be provided with your nomination (JPEG and PNG file types only).

File Upload

Up to two electronic photos or graphics may be provided with your nomination (JPEG and PNG file types only).

Nominator Information

Nominator Suffix: Please select from dropdown menu. *

Nominator Name (Last, First): *

Nominator Credentials (C.E.M., P.E., etc.):

Nominator SAEEC Status (Nominator Must Be a Member of SAEEC): *

Nominator Position: *

Nominator Company: *

Nominator Address: *

Nominator City: *

Nominator State / Province / Country: *

Nominator ZIP or Postal Code: *

If your country does not have zip codes, enter 00000.

Nominator Business Phone: *

Nominator Email: *

Verification by Nominator: *

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I hereby verify the accuracy of the statements contained in this nomination. The facts and figures represented in the nomination are true and correct to the best of my knowledge and belief. (Please acknowledge this statement by typing your name and the date in the text area.)