Tolbert Awards Nomination Form

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Leesburg’s Environmental Advisory Commission (EAC) welcomes nominations for the John W. Tolbert, Jr. Environmental Achievement Award. This award program recognizes students, community groups, or individuals that conduct or participate in activities that benefit the Town’s environment. Examples of activities that benefit the Town’s environment include:

  • Innovative use of recycled materials (including composting, collection programs for materials that are recyclable or reusable)
  • Pollution prevention
  • Waste reduction
  • Protection of the natural environment
  • Habitat Improvement
  • Beautification of the environment
  • Environmental education
  • Monitoring the condition of Leesburg’s environment (streams, habitat, etc.)

By filling out this form, your nomination will be forwarded to the EAC for consideration. Award Recipient(s) will be announced in January and presented with the award at a future Town Council Meeting.

Nominator's Name

Nominator's Phone Number
Nominator's Email Address
Name of the person or group you are nominating
Phone number for the person or group being nominated (if known)
Email address for the person or group being nominated (if known)

Other information or contact information for the person or group being nominated


Please provide a one or two paragraph narrative describing the activities of the individual or group whose actions have benefited Leesburg’s environment.


Please feel free to attach any additional supporting photos or documents

  1. To receive a copy of your submission, please fill out your email address below and submit.
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