Detailed Nomination Form

Enter an honourific only if the nominee requires use of the honourific (we prefer none). Do not include a degree if you also use Prof. or Dr.

Please ensure this is the actual work email of the nominee. Not an alternate contact. There is an optional spot later for alternate contact information for a PR person, or personal assistant. **If someone else should also receive updates from the Clean50, please establish a RULE in the nominee's mail client inbox**

Please DO NOT repeat the work email. **The Clean50 Award is for life, and so a personal email is required**.

Please ensure this is the actual personal mobile number of the nominee. There are times when validating information or confirming availability during the summer where we will need to speak directly to the nominee and on a time sensitive basis.

Please ensure this is accurate and EXACTLY as you would want it to appear in press releases, in the Globe and Mail etc.

enter a valid website. Use https://clean50.com if not applicable.

Enter a valid website. Use https://clean50.com if not applicable.

**PLEASE READ THESE INSTRUCTIONS CAREFULLY ** Please identify the key reason(s) the nominee should be named to Canada's Clean50 Award. If properly done, this will be the copy that appears under the nominee's picture to justify the award. For ideas see the honouree descriptions elsewhere on this site. **PLEASE READ THESE INSTRUCTIONS CAREFULLY ** Please Identify in priority sequence the most impactful things the nominee has accomplished over the past 2 years - with measurements where at all possible - identifying either positive outcomes - or reduced negative outcomes. For example, using a prior Honouree, Antony Marcil, as an example, his response to this section would likely include the following bullets: - Led the team that grew the size of FSC certified forests in Canada from 4.7 million hectares to over 40 million; - persuaded most of Canada's leading mass mailers to switch to FSC certified paper and increased the number of FSC certified sawmills in Canada by 746%." Our reviewers are looking for MEASURABLE IMPACTS - and it will vary greatly by Clean50 category. Please do *NOT* tell us that the nominee is a sought after public speaker, never refer to other awards, that the nominee is passionate about (insert key word here) or that they have upgraded the insulation in their homes. What have they actually DONE that has measureable impact for Canada? The Clean50 seeks to identify and honour significant achievement beyond simply "business as usual" (BAU), and this short description is intended to capture the 2-4 most relevant accomplishments that readers of the Globe and Mail would find most noteworthy. DO NOT reference their name, title or company (our format includes these based on other data you entered already) - simply the key accomplishments and IMPACTS. *** For ideas, please look at Honouree descriptions at Clean50.com to get a sense of how to draft this critical response. We will judge the nominee on all responses - but this one in particular tells us what the nominee considers their most important impacts ***.

Of the items above, please describe in detail the most meaningful impact, and why you consider it to be the most relevant. Try to help our reviewers understand the objectives and the outcomes - and in particular, any metrics that support the scope of the impact. Please also help us understand the obstacles - internal / external - that needed to be overcome.

Of the items above, please describe in detail the next most meaningful impact.

How were the impacts above achieved? What leadership / direct / indirect role(s) did the nominee play?

If so, please summarize the organization's GHG results, and define if scope 1,2 and / or 3 emissions, and provide a brief explanation for changes over the past 2 years. DO NOT refer us to your annual or sustainability report. IF NOT, please advise whether the organization has plans to measure / report in the near term.

Does either the organization and / or the individual nominee address their GHG emissions by purchasing green energy from a green energy retailer (i.e Bullfrog), or through the purchase of offsets? Please provide details.

If yes, provide details.

Does the organization and / or the nominee utilize electric vehicles (EVs), provide charging stations for employees or customers, or have any immediate plans to do so?

Does the organization have a public position on carbon pricing whether via a carbon tax, cap and trade etc. If so, Please explain.

Please describe any steps the organization taken to making their procurement / purchasing processes more sustainable. Is any preference given to environmentally preferable products? To purchasing goods or services from environmentally preferred suppliers?  **Note: If the NOMINEE has played a significant role in leading any of these changes, they should also respond to further questions later on this form about sustainable procurement to be considered for the HP Canada special award for the Clean50 honouree who has most advanced sustainable procurement in Canada over the past ~2 / 2+ years

Note: If the NOMINEE has played a significant role in leading any of these changes, and wishes to ALSO be considered for a special award, they may provide minimal details here and should also respond to further questions later on this form about sustainable procurement to be considered for the Delta Management / HP Canada special award for the Clean50 honouree who has most advanced sustainable procurement in Canada in the past 2 years

Note: If the NOMINEE has played a significant role in leading any of these changes, please make note. Buildings nominees will be asked about GRESB in a later question and need not respond here other than to say "we report under GRESB".

Note: Responses to this question will not be shared outside of Delta Management's team

While the Clean50 is not itself an advocacy organization, specific and clearly identified individual members of The Clean50 from time to time take a public position regarding sustainability and / or climate issues of public interest. For example in April 2019, 100 members of the Clean50 came together to purchase an advertisement in the Globe and Mail to present an open letter to Canadians, focused on the benefits of a new low carbon economy, and asking our fellow Canadians to insist that any politician they supported first have a clear plan to tackle climate change and climate action. In 2020, 235 members of the Clean50 (over 200 of whom also had the support of their organizations, which were then also referenced) signed a public letter asking for a post COVID 19 "CleanReset" stimulus plan (see the website for both). In several earlier cases, members came together to express their support for various actions by governments. In each and every instance, governments responded favourably and acted as we had asked. While the Clean50 is not the sole organization who did so in either case, we do know that the broad coalition of our Alumni was noted in both cases, and we were certainly the largest diverse organization of stakeholder to ask for the actions we did - something we believe gave policy makers permission / cover to do what they wanted to do.  *** Is the nominee able to take such a stand, should they wish to support any such statements, and do so in a public fashion? (We fully appreciate that Government employees are often denied any such ability). We would appreciate the Nominee's thoughts regarding the Clean50 or its members taking on any kind of advocacy role. Note: Clean50 Alumni are under no obligation to endorse any public advocacy position and statements are always clear to delineate that the positions expressed are expressed only by those signing on to any given statement.

Please review our FAQ and category descriptions to pick the category (or categories) where your metrics best suit the questions. **You may enter in multiple categories**.  For example, a clean tech product manufacturer could be recognized for either the impact of their technology (Clean Tech) or the process by which they manufactured their products (Manufacturing & Transportation).  Please note: only ENGOs, registered charities and NFPs, whose primary function is driving system change, will be considered in the ADVOCATES category.

Please identify for us those whom you have influenced, or with whom you have engaged, how you did it, and the specific / measurable impacts of those influences

How do you raise funds? How do you engage others? How long have you been active in Canada? Are you international? How many unique donors do you have? What's your annual budget? Give us a better understanding of your organization and a little to differentiate yourself from organizations with a similar/ overlapping mission. Please answer as many of these questions as possible. 

Delta Management underwrites the cost of Honourees actual participation in the Summit itself, but no costs beyond the ticket price of the Summit itself are covered. Will this make your involvement impossible? This answer will not preclude your selection but will allow us better planning. To be clear, no transportation or accommodation costs are available at this time. We appreciate honesty: while saying you cannot afford to make the trip will not exclude you, telling us you can / will come - and then withdrawing later - may lead to our withdrawal of the award.

List the NET NEW largest or most innovative deals, the number of investments as well as the total made between January two years ago, and March 31, this year. IF your nomination is about non-financial support for clean tech companies, detail any specific companies in which you have invested time here.  Regardless, **WE are looking for SPECIFICS**

Do you limit your involvement by region, industry, or size? Give us some insight into your ideal investment.

Please provide details

Please describe the overall improvements in energy efficiency you / your team's work has enabled.

Describe your engagement (if any) in reporting ESG, GRESB, carbon disclosure results etc. as well as LEED, Energy Star, Energy Star Multi-Family, or WELL certifications you have pursued, and if so, results / resulting impacts on behaviour / future appetite.

Describe your IP or time contributions to aligned organizations such as REALPAC, CAGBC, GRESB, local BOMA groups or others, or contributions of R&D, to the community at large

How does the organization or buildings in its portfolio make use of district energy, renewable energy (solar / wind / geo) or related technologies?

What steps has your organization taken to improve tenant / occupant engagement in reducing energy / water/ waste in your building / community? Do you sub-meter your tenants / occupants?

Have you implemented a BAS in your building(s)? If so, please provide details as to which specific solutions and the vendors, their impacts on building energy performance, cost avoidance, and whether you plan to continue doing so / expanding their use.

Please describe how the efforts of the nominee has made cities / your city more livable / sustainable. QUANTIFY as much as possible

What steps have you led to make your community / infrastructure more resilient to significant climate events?

What impacts have resulted from the nominee's work or leadership as it applies to resource use? Please address each of AIR QUALITY, WATER, ENERGY USE, LAND USE / REMEDIATION as applicable.

What impacts has the nominee's work had in operations and planning? Please reference any that apply, i.e. transportation, waste, changes to planning / building codes, procurement policies / processes.

What impact(s) has the nominee had with respect to implementing environmentally preferred policies that incent stakeholders to take climate / environment into account I.e. has the municipality offered priority processing for sustainability conscious building permits?

Give us the W5: what does it do? for whom? where? why? How? Please explain **IN LAYMAN's TERMS! ** your clean tech solution. What problem does it solve? Which industries need it? How does it work? If we finish reading the answer to this question and could not sell it on your behalf during a 2 minute elevator ride, you will have failed!

How does your product or service change the game? Can you quantify that?

Please identify the Canadian content in the IP, the manufacturing, the leadership, the operations and the impact of the company / products / solutions.

We are trying to quantify your overall contribution to our exports, GDP, employment numbers etc. How many employees do you have overall? How many employees in Canada? What does your infrastructure look like in Canada? Revenue over the past 2 fiscal years? Growth? etc.

Do you contribute / respond / subscribe to the Canada Clean Tech survey or other reports / surveys on the Clean Tech industry in Canada? Support regional or national Clean Tech associations? etc. Please describe your engagement over the past 2 years

Please include some description of the client (i.e "a major retailer" if the client's name is confidential), the metrics around the project, and the nominee's role in each.

Use this section to identify other, non-client specific, contributions to sustainability in Canada.

Comparing apples to apples in the consulting world is often impossible - and the Clean50 award is not about size so much as it is about impact. Nonetheless, it would be valuable, if you can break the numbers out, to understand what the revenues are that can be associated with the relevant areas of your personal practice, and, if you lead a team / organization, how many staff and how many clients you have, Numbers need not be precise (i.e. to the nearest 100 K if under 2 million, to the nearest million if over 2 million) will not be shared, but will be used for us to try and compare your impacts to others vying for a Clean50 award. Lack of any useful information here will result in our assumption that your revenue is under 200K.

Please include some details regarding the number of individuals who have been impacted, and, if possible, any measurable outcomes that resulted. i.e .number of students in the classes taught, subscribed to podcasts etc.

To the extent possible, describe the influence the nominee's work may have had outside of their own immediate sphere, or province. Include impact on knowledge or curricula provincially, nationally or internationally, as well as research and its impact.

Is there any way to determine the number of people impacted by the nominee's work? Government policies? Corporate behaviour? If so, please explain and provide details.

Please identify the investments / projects, measurable impacts, and the nominee's role if any. Please note that we no longer consider re-lamping with LEDs as outside BAU or relevant.

Please identify the investments / projects, measurable impacts, and the nominee's role if any. Please note: we do not consider impacts from shifting consumers to on-line statements relevant.

Does the organization have a Chief Sustainability Officer? How big is their team? ESG / GHG / PRI analysts? Identify growth or changes since January two years ago

Please also include ways in which the nominee contributed to such efforts, if applicable.

Describe innovative ways in which the organization has reduced its transportation impacts. i.e. has the organization shifted freight transportation from highways to rail, or increased employee use of hybrid or electric vehicles?

To whom does the chief sustainability officer report? Does the Board consider the organization's sustainability report or CSR report? How often? Are there ESG / climate / climate risk savvy board members specifically tasked with these issues?

Please include information regarding the nominee's influence in this regard, if applicable.

And the nominee's role in advancing those.

And what role did the nominee play in those advancements?

We get that leadership in the public sector can be difficult. The answer to this question will remain completely private, but is important to us in terms of our recognizing both leadership - and courage in taking on "business as usual" / "government as usual".

Please also identify the nominee's role in that

Please identify both a) the total produced, and b) all increases in capacity ( by project ) in renewable energy built or brought on-line between Jan 1 two years ago and March 31 of this year, and the nominee's role in same.

Help our reviewers to understand the possibilities of your work.

Please tell us what steps remain, and the prospects for success / failure.

If so, please identify the contributors and explain their roles relative to the nominee's role.

If third parties have independently reviewed the research, please provide name and contact information (including phone number) of any person(s) who can talk to such validation. It would be extremely unlikely that we would recognize any R&D honouree without first obtaining independent and reliable confirmation that the results are as claimed. Names / emails / phone numbers would be very helpful.

Identify the role of the nominee, if any, in directing that effort.

Identify the role of the nominee, if any, in directing that effort.

Identify the role of the nominee, if any, in directing that effort.

Please identify the percentage of a) individual forms of renewable energy, b) nuclear c) natural gas, d) coal and e) any other sources (in detail) including experimental, if any ? Please provide both the information and the degree to which each has changed over the past 2 years

please provide details...

You will be asked to identify your volunteer activities that may be both directly / indirectly connected to your profession, and others which are completely disconnected from your profession.

For example, a CA from a CA firm serving in a volunteer capacity as treasurer of a community group such as a PTA, work that is valuable and important to the community, but might also serve a business development purpose. Please also describe the hours spent, results, communities served, and the impacts of the Nominee's contribution. Where not well known, please describe the mission of the organization. PLEASE NOTE: we seemed to have some logic challenges with the form at this juncture - if you said NO to the TELUS Award question above and you are here anyway, please enter N/A for this and the next 2 responses

Include multiple instances if appropriate. Where possible, please provide metrics as to the average number of hours per month in each case, the number or size of the community served etc. and the impacts of the nominee's efforts. Where not clear or well known, please describe the mission of the organization(s),

If so, please describe how. If not, please specify N/A For example, some organizations afford employees paid time off for a certain number of hours per month to support charities chosen by the employees, or provide matching donor contributions.

How would being named to the Clean50 impact you personally / professionally?

i.e. other projects, activities further back than two years ago, contributions to others' efforts etc. You could include personal environmental actions / commitments. Please do not include parental status, partisan or political party activities by party name. Or indicate "N/A".

Some past Clean50 Honourees have continued to meet and engage in identifying ways in which they can leverage their unique knowledge and leadership to inspire and inform other Canadian companies and individual Canadians - as well as becoming resources to each other. For example, 2 years ago, a number of Summit participants began work on creating a new standard for “clean freight” transportation, and others on sharing best practices for Sustainable Procurement. This past spring 60 different past recipients collaborated to prepare "#CleanReset plan for post-COVID recovery, ultimately supported by 225 Clean50 winners, 210 of their employers (including HP Canada, Unilever, numerous clean tech CEOs and venture funds, etc etc)

All honourees are provided with the opportunity to tell more of their story - but also required to commit to preparing a 1,000 to 1,500 word article, to be submitted within 60 days of their being advised of their selection, that describes in detail some element of the reason for which they were honoured, or demonstrates thought / policy leadership - or provides useful advice to others. The nature of this article will vary with the category - but will subsequently be linked to the honouree's profile - and appear on a "Articles" / news page on the Clean50 website. Can the nominee accept this responsibility?

Was the nominee 35 or younger for some or all of the work described above? And if so, do you wish to be considered for an Emerging Leader Award if not named as one of the Clean50 individual honourees? PLEASE NOTE - Emerging Leaders are individuals and will not be named as a team. If this is a team nomination and the team does not make the main Clean50 list, but does make the Emerging Leader list, only the first nominee will be named as an Emerging Leader.

The Clean50 was designed to recognize leaders. WE know it's a team sport - but leadership matters. That said, we have the ability to recognize up to a maximum of 3 additional team members for the work described. In that instance, the space usually allotted for the Honouree's picture is sometimes shared between 2, 3 or 4 people in total. It is harder for a team to make the Clean16 list as we then expect more impacts.

Enter an honourific only if the nominee requires use of the honourific (we prefer none). Do not include a degree if you also use Prof. or Dr.

Please - the actual office phone - not the mobile phone.

It's important we have both because the Clean50 Award stays with any recognized Honouree for life, and extends past their career with their present company. Please do not re-enter the work email.

A reminder we need the actual mobile numbers of all the Nominees in case we need to reach them during a vacation break as decisions are being made.

**Exactly** as it should appear in our magazine, the Globe and Mail, etc. Please double check spelling! DO NOT say "as above". We enable teams to be formed from distinct organizations and so the full and correct organization name is required for ALL team members.

**Exactly** as you would want it to appear in the Globe and Mail.

Assuming the COVID crisis is sufficiently under control and the Clean50 Summit proceeds on October 1st, in Toronto, (or later as postponed) all team members will be invited to attend the Summit. The team lead is expected to do so, and Delta covers the cost of that. Other team members may also attend, but are responsible for paying to do so, expected to be $595 for the day.

Enter an honourific only if the nominee requires use of the honourific (we prefer none). Do not include a degree if you also use Prof. or Dr.

Please - the actual office phone - not the mobile phone.

It's important we have both because the Clean50 Award stays with any recognized Honouree for life, and extends past their career with their present company. Please do not re-enter the work email.

A reminder we need the actual mobile numbers of all the Nominees in case we need to reach them during a vacation break as decisions are being made.

**Exactly** as it should appear in our magazine, the Globe and Mail, etc. Please double check spelling!

**Exactly** as you would want it to appear in the Globe and Mail.

Assuming the COVID crisis is sufficiently under control and the Clean50 Summit proceeds on October 1st, in Toronto, (or later as postponed) all team members will be invited to attend the Summit. The team lead is expected to do so, and Delta covers the cost of that. Other team members may also attend, but are responsible for paying to do so, expected to be $595 for the day.

Enter an honourific only if the nominee requires use of the honourific (we prefer none). Do not include a degree if you also use Prof. or Dr.

Please - the actual office phone - not the mobile phone.

It's important we have both because the Clean50 Award stays with any recognized Honouree for life, and extends past their career with their present company. Please do not re-enter the work email.

A reminder we need the actual mobile numbers of all the Nominees in case we need to reach them during a vacation break as decisions are being made.

**Exactly** as it should appear in our magazine, the Globe and Mail, etc. Please double check spelling!

**Exactly** as you would want it to appear in the Globe and Mail.

Assuming the COVID crisis is sufficiently under control and the Clean50 Summit proceeds on October 1st, in Toronto, (or later as postponed) all team members will be invited to attend the Summit. The team lead is expected to do so, and Delta covers the cost of that. Other team members may also attend, but are responsible for paying to do so, expected to be $595 for the day.

There is no cost whatsoever to be considered or named to the Clean50, nor to attend the Summit. All of those costs are covered by lead sponsor and award founder and steward Delta Management Group, together with our Clean50 Partners. There is however an obligation to execute a license agreement upon winning. In a nutshell, the license enables winners to share their win on PERSONAL social media (Facebook and Linked In for example) at absolutely no charge. If the Honouree's employer wishes to publicly acknowledge the Honour in a way designed to promote the organization and / or the Honouree, the organization is then required to help support the work of the Clean50 by paying a small one time fee ranging from between $100 for an ENGO and $1,500 for a for profit corporation. There is absolutely no obligation to do so unless the Employer wishes to promote the Honouree's win. There is an obligation for the Honouree to acknowledge those conditions upon accepting the Award, and sign a license to that effect.

Each year the GLOBE and MAIL publishes a series of Clean50 special pages in the Report on Business, coincidental with pictures of the Clean50 Winners. These usually appear to coincide with Earth Week (Earth Day = April 22). The content feature stories proposed by Clean50 winners and the space allocated for each story is proportional to the size of advertisement purchased by the Honouree's organization. (Examples can be found on the Clean50 website). Costs are steeply discounted and result in effect 1.5 x the space in total at half the price of the Globe's usual cost for the same size of advertisement. Ads typically run on different days than the story appears. lending the story more credibility. Costs typically run from between 5K (for a smaller advert and being covered in an article shared with other winners) to 25K for a full page advert and 3/4 page story / content. Neither Delta nor the Clean50 receive any commissions or payment whatsoever from the Globe - but we support the effort as it raises awareness of Clean50 Honourees and their fine work.

Please ensure the Nominee understands and accepts these conditions: The statements made above are true and accurate to the very best of my knowledge and belief. I understand that any offer of an award may be rescinded, or the award itself rescinded if it is discovered that a significant error has been made in my / our submission.

I will forward a PASSPORT-LIKE photograph of at least 1000 x 1400 resolution to Clean50photos@deltamanagement.com by August 1st, 2021. ** Because I am a smart person, who can follow directions, the content of the picture I send will be of my FACE, from approximately my throat up, with composition closely MATCHING those already on the Clean50 website. ** It will be well lit. It will be in focus. It will not have been taken by my friend using my Iphone (because that wide angle lens will distort my features). It will NOT be of my torso, nor of me standing with my arms folded etc etc. (because then it would not be ~ 85% face) nor will it be a pic with a pipe or a tree or an escalator or any other object appearing to come out of my head, vertically, diagonally, or horizontally, like failed attempts made before me by others. It may include (if I have one) my beard, turban, as much hair as I want to show. or any other feature I consider part of what makes me, me, or part of my identity, but I will bear in mind that including longer hair (i.e. half way down my chest) may make my head / face appear smaller than that of my fellow honourees, should I make the list., so I will crop accordingly. I have copied these instructions and I will follow them! If this is a team nomination, I will ensure we ALL will send both individual pics for each team member (as per above) AND ALSO a team picture that is also 5x7 in proportion (portrait mode) and also with a resolution of at least 1000 x 1400. If I am unsure what this means I will email for further instructions, and will then follow them**. *** I realize that the Clean50 team will judge me on my ability to follow and comply with these simple instructions, and because I want to be a member of the Clean50, I will do my very best to actually read, understand and follow them!! **