NHBSR Partnership for Innovation Nomination Form
RequiredRequired Question(s)
The NHBSR Partnership for Innovation Award recognizes a collaboration that created synergy and progress on a sustainability initiative where it might not otherwise have been possible.  The partnership should demonstrate a creative approach and measurable results that will inspire other business leaders in New Hampshire/New England to take action.   (One of the nominated partners must be an NHBSR member.)
Required 1.
Please provide information about the two businesses or organizations you are nominating: 

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
Email of Contact at Partner Company:
Name of Contact at Partner Company:
Name of Partner Company:
Work phone of Contact at Partner Company:

Required 2.

Please provide contact information for the person making the Nomination, if not one of the people listed above:
Name, Company, Address, Email, Phone Number 


350 characters left.

Give a brief description of how these two companies/organizations have worked together to amplify their sustainability efforts through their partnership. Please provide any information such as the program's aims, approach, key elements and results. 



1000 characters left.
Required 4.

How do these two organizations work to promote the value of CSR to other businesses and stakeholders?


1000 characters left.
Required 5.
What other details or information about these organizations' partnership should be considered?


1000 characters left.
Required 6.

Do you have supplemental information that you intend to send? If so, please let us know whether it will be sent via email or mail in the comments field below.

**We especially encourage an additional letter of recommendation from another source to strengthen the nomination.

Supplemental materials can be sent via email to molly@nhbsr.org (please put Partnership for Innovation in the subject line)  or by regular mail to: PO Box 3562, Concord NH 03302

  • Comment:

  • 500 characters left.
Thank you for your nomination.

All nomination applications and materials are due by February 8, 2019.