Clean 13 Nomination Form

Nominate for the Clean 13

Take the plunge for clean water! Submit a nomination for the Clean 13!

Summary

The Georgia Water Coalition’s Clean 13 Report will highlight extraordinary efforts on the part of businesses, industries, local governments, non-profit organizations, and individuals to protect the water and natural resources of Georgia. Examples include:

businesses using innovation to solve pressing environmental problems;
local governments going above and beyond minimum requirements to protect water or land;
industries reducing water use, eliminating waste or implementing other sustainability programs;
non-profit organizations leveraging citizen activism to create change in their communities; or,
individuals leading projects to solve a community-wide water pollution problem.

By highlighting these efforts, the Coalition hopes to inspire others to emulate this work and create cleaner, stronger, more sustainable communities across the state. Anyone may submit a Clean 13 nomination…including the entity seeking recognition.

Nomination and Awards Process
A panel of representatives from the Georgia Water Coalition will review the nominations, and winners will be notified of their selection in early August. The Clean 13 Report will be published in the fall. Deadline for nominations is July 14, 2023.

The Georgia Water Coalition works to assure enough clean water for this and future generations.

About the Georgia Water Coalition

The Georgia Water Coalition is a group of more than 255 organizations representing more than 250,000 Georgians. Its mission is to protect and care for Georgia's water resources, which are essential for sustaining Georgia's prosperity, providing clean and abundant drinking water, preserving diverse aquatic habitats for wildlife and recreation, and strengthening property values.

Nomination Form

To file your nomination, complete the form and narrative below. Or you may complete it in another document and e-mail it to jesse@coosa.org. Or click here to download a pdf of the form and mail it to Jesse Demonbreun-Chapman, 5 Broad St. Rome, GA 30161.

Nominee Name (Individual, Business, Government, Non-Profit)*
Nominee Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee E-mail
Nominee Phone Number*
Nominator Name (Individual, Business, Government, Non-Profit)*
Nominator Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominator Email*
Nominator Phone Number*
Nominations must have direct or indirect impacts on protection of Georgia’s water resources. Some examples include:
- a land protection project that has positive impacts on the health of a nearby stream
- a renewable energy or energy efficiency project that reduces dependency on fossil fuel-based power generation (a power source that negatively impacts our rivers and streams)
- an outdoor recreation project that connects people with our rivers and streams like a water trail
1. What is the primary product or service that this individual, business, local government or non-profit organization provides to the area? Explain as necessary (Limit 1200 characters).*
2. What specific actions of this individual, business, local government or non-profit organization should be recognized in the Clean 13 Report? Explain the original goal of the action and the process by which the action was accomplished (Limit 1200 characters).*
3. How have the actions of this individual, business, local government or non-profit organization benefitted the natural resources of Georgia (resources protected or conserved, waste reduced, water conserved, land protected, improved access to outdoors, etc.)? Quantify the benefits of these actions (Limit 1200 characters).*
4. When were these actions implemented? Is this an ongoing benefit or was it a one-time benefit? How were these actions funded (or will be funded in the future)? (Limit 800 characters)*
5. How have the nominee’s actions been duplicated or modeled by others in similar fields? Or in the future how can their actions be used as a model for others in similar fields (Limit 800 characters)?*
6. Has this action/activity been recognized by other entities? Please list recognitions/awards and dates of these awards/recognitions.*
7. What other qualities does this individual, business, local government or non-profit organization exhibit that make them a suitable nominee for recognition in the Clean 13 Report? (Limit 800 characters)*