2022 Campus Sustainability Champion (Faculty & Staff) Nomination form
The PERC Rep from each campus can use this form to submit your Nominee for your campus's 2022 Campus Sustainability Champion. PERC’s Campus Sustainability Champions are faculty, staff and administration of Pennsylvania colleges and universities who have made meaningful contributions benefiting social, economic and/or environmental sustainability on their campus, in their community, or in society at large. Contributions can be in areas of teaching, research, co-curricular programs, campus culture, community service, and campus operations. See the Call for CSC Nominees for more information.

Have an idea for a CSC nominee? Send it to your PERC rep for submission. Need to find out who your PERC rep is?  Look here: www.pagreencolleges.org/Reps 
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Name of your institution *
Your First Name *
You must be the PERC Representative for your institution to nominate.
Your Last Name *
You must be the PERC Representative for your institution to nominate.
Your Email *
PERC Representative's Email
Your Phone Number *
PERC Representative's Phone
CSC Nominee's First Name *
For a group, please identify one person for correspondence and identify the group name, if any in the nomination text below.
CSC Nominee's Last Name *
For a group, please identify one person for correspondence and identify the group name, if any in the nomination text below.
CSC Nominee's Email *
CSC Nominee's Phone number *
Nomination Summary *
In less than 100 words, summarize why the individual or group is deserving of recognition as a PERC Campus Sustainability Champion. Language from your response will be posted on the PERC website, so please write in a style and with language suitable for a general audience.
Supporting Details *
In 250 to 500 words, please provide details to support your nomination. A link to a webpage that provides additional information may be included. Language from your response will be posted on the PERC website, so please write in a style and with language suitable for a general audience.
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