Community Impact Award Application Form

Apply for the:

Community Impact Award

Community Impact Award
Nomination Form

Thank you for your application for the Community Impact Award. We look forward to reviewing your submission! Please ensure all required documents are attached to your submission. Incomplete submissions may not be considered for the award.

Full Name

Affiliation

Position/Title

Email Address

Phone Number

Industry Sector

HR/Department Contact (for internal use)

HR Representative Email Address

Description of Community Impact Initiatives

Community Engagement

Positive Impact

Social and Economic Benefits

Innovation and Creativity

Sustainability and Legacy

Case Studies or Success Stories

Supporting Documentation (Community Testimonials or Endorsements)

Terms and Conditions:
By submitting this form, you agree to adhere to the guidelines and deadlines set forth by the Middle East Carbon Tech Expo organizing committee.