Lifetime Achievement Award Nomination Form

NAEM's Lifetime Achievement Award is a prestigious annual award honoring an individual's contribution to their company and the environment, health & safety, and/or sustainability (EHS&S) fields. It recognizes an EHS&S leader whose vision and commitment has positively shaped the EHS&S fields within a corporate management role.

Deadline to submit: Friday, August 29, 2025

REQUIRED DOCUMENTS*

Completed nomination form
Two letters of recommendation

*Incomplete nominations will not be considered.

QUESTIONS? ISSUES WITH THE FORM?

Please contact awards at naem dot org if you are experiencing trouble submitting the form. Thank you.

NOMINATION FORM

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Before you begin: This nomination form requires two (2) third-party letters of recommendation. The form also requests the nominee's resume/CV or bio, as well as their headshot.

Nominee's Information

Nominee's Name*

Nominee's Title/Position*

Nominee's Company*

Nominee's Email*

Nominee's Phone*

Years in Profession

Nominator's Information

Nominator’s Name*

Nominator's Title/Position

Nominator’s Company

Relationship to Nominee*

Nominator's Email*

Nominator's Phone*

Provide an overview of the Nominee's 20-plus years of professional experience, including previous management positions held, current role, and key accomplishments. (500 word max.)*

Please list a minimum of two examples that demonstrate the Nominee's distinguished service and leadership within the fields of environment, health, safety and/or sustainability at the corporate management level. Examples may include: Company or industry-related recognition and awards, board appointments, publications, public speaking engagements, and relevant service or volunteer positions. (500 word max.)*

Identify and define the Nominee's impact on company performance. Outline pertinent EHS&S initiatives and/or programs. Provide measurement of impact through metrics or KPIs. (500 word max.)*

Describe the Nominee's leadership style and provide examples of their commitment to expanding the influence of EHS&S professionals. (500 word max.)*

Provide two examples of Nominee's commitment to industry advancements or lifelong learning. Examples may include: Continuing education, corporate or university teaching, patents, strategic initiatives, breakthrough program development, and other definable actions. (500 word max.)*

REQUIRED: Attach two letters of recommendation.*

Please upload files no larger than 5MB.

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IF AVAILABLE: Attach Nominee's resume, CV or bio.

Please upload a file no larger than 5MB.

IF AVAILABLE: Attach a headshot of the Nominee.

Please upload a file no larger than 5MB. Recommended photo specifications are 300 dpi and at least 800x800 pixels.

Nominator's Signature*

By electronically signing this nomination form, you certify that all information provided is accurate and complete to the best of your knowledge.

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Lifetime Achievement Award Nomination Form

REQUIRED DOCUMENTS*

QUESTIONS? ISSUES WITH THE FORM?

NOMINATION FORM

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