Form 6100-17 Awards Application Irrigation Partner

EPA's WaterSense Program (Renewal)

Attachment 20 awards_irrigation

Water Efficiency Collection - Individuals

OMB: 2040-0272

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2009

OMB Control Number 2040-0272
Approval Expires 01/31/2010

WaterSense® Awards

Instructions

The U.S. Environmental Protection Agency’s WaterSense program is pleased to recognize the
accomplishments of its partners. Partners in each category contribute to our shared mission of
protecting the future of our nation’s water supply by promoting water-efficient products, services, and
practices.
To apply for the WaterSense Irrigation Partner of the Year award, please complete the following
steps:
1. Ensure Eligibility. To be eligible for an award, you must have become a WaterSense partner
prior to January 1, 2009 and maintained your certification(s) (if applicable).
2. Complete the Awards Application Form. Please fill out the application form, including your
contact information, eligibility confirmation, and a description of your landscape irrigation work.
3. Compose a Written Statement. Please prepare a short, written statement that addresses each
of the evaluation criteria for your award category. Your written statement must be no more than
five (5) pages in length. (Please organize and label your responses to coincide with the
evaluation criteria categories). Your responses should only address efforts and accomplishments
that you conducted in 2008.
4. Compile Supporting Materials. Please include sample or supporting materials that clearly
demonstrate how you have supported the WaterSense program’s mission. The materials,
such as photographs and diagrams, should complement your written statement and provide
WaterSense with tangible examples of how you promoted the WaterSense program and
emphasized water efficiency in your projects. Please refer to the written statement instructions
for a list of examples.
5. Submit Two (2) Copies of the Complete Award Application Package. Mail two (2) copies
of your complete application package, including the application form, written statement, and
sample or supporting materials to:
WaterSense
c/o ERG
2300 Wilson Blvd., Suite 350
Arlington, VA 22201
Your application package must be postmarked no later than April 10, 2009.
If you have questions, please contact the WaterSense Helpline by e-mail at [email protected] or
by calling toll free: (866) WTR-SENS (987-7367).
The public reporting and recordkeeping burden for information collection requirements associated with the awards application for each respondent is estimated to
be 21 hours. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
control number. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing
respondent burden, including through the use of automated collection techniques, to the Director, Collection Strategies Division, U.S. Environmental Protection Agency
(2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

(866) WTR-SENS (987-7367) · www.epa.gov/watersense · [email protected]

2009

OMB Control Number 2040-0272
Approval Expires 01/31/2010

WaterSense® Awards

Irrigation Partner of the Year Application

Partner Name: __________________________________________________________________________
WaterSense Labeled Certification(s): ________________________________________________________
Title:__________________________________________________________________________________
Phone: _________________________ Fax: _________________ E-mail: ___________________________
Company/Organization:__________________________________________________________________
1. Please verify your eligibility:
❏ Joined WaterSense partnership prior to January 1, 2009?

Date joined:_________________

❏ Please confirm that your WaterSense labeled certification is current
Signature: ______________________________________________________________________
2. Please provide a brief description (no more than 300 words) about the landscape irrigation work that
you do (e.g., design/install/maintenance/audit, commercial vs. residential). Attach an additional page
if necessary.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
3. To complete the application process, carefully
review the written statement instructions
and evaluation criteria, prepare your written
statement, and submit your complete application
package by April 10, 2009.

EPA Form Number 6100-17.

Important Dates
Application deadline: April 10, 2009
Award winner notification: June 19, 2009
Recognition ceremony: October 7-9, 2009

(866) WTR-SENS (987-7367) · www.epa.gov/watersense · [email protected]

Written Statement Instructions
Please compose your written statement by addressing each of the following evaluation criteria based
on your activities in 2008. Organize and label your statement using the following categories (e.g.,
Promotional, Educational, and Outreach Activities). In total, your written statement must be no more
than five (5) pages in length, not including sample or supporting materials.
To strengthen your application:
•	

Include	measurable	results	wherever	possible.	For	irrigation	partners,	this	might	include	gallons	
of water saved, number of people you have educated about WaterSense, or number of places you
use the WaterSense partner logo.

•	

Include	supporting	materials	in	your	application	package	to	thoroughly	demonstrate	your	
accomplishments. For irrigation partners, these materials might include articles authored by or
featuring you, customer education materials, or marketing materials highlighting your efforts to
promote WaterSense and water efficiency.

•	

Organize	your	written	statement	to	address	the	evaluation	criteria	and	avoid	double	counting	
your activities across categories. Clearly label your statement to identify which criteria you are
addressing.

WaterSense will evaluate your application based on your written statement in response to the criteria
below. The point values following each category indicate the maximum potential value for all activities
within that category.

Evaluation Criteria
1. Promotional, Educational, and Outreach Activities (60 points)
•	

Describe	how	you	use	your	WaterSense	partnership	to	attract	customers	or	to	demonstrate	
your commitment to water efficiency. For example, highlight how you use the WaterSense
partner logo in conjunction with your name on Web sites, business cards, or other marketing
materials that demonstrate your efforts to promote WaterSense and water efficiency.

•	

Explain	how	you	have	educated	your	customers	and	potential	customers	on	the	importance	of	
water efficiency and the WaterSense program. Describe how you use the following materials
to make the case for high-quality, water-efficient irrigation work:
– Water savings data and/or return on investment
– WaterSense irrigation partner tool kit materials (i.e. brochures, press releases, bill stuffers,
checklists, window clings, or stickers)
– WaterSense Web site
– Other materials

•	

Describe	how	you	have	educated	employees,	coworkers,	and	others	in	the	industry	about	
water efficiency and the WaterSense program.

2. Water-Efficient Practices (40 points)
•	

If	you	design	and/or	install	irrigation	systems,	describe	how	you	designed	or	installed	systems	
for optimal water efficiency in 2008. Explain the types of water-efficient technologies and the
design features that you used to enhance water efficiency.

•	

If	you	maintain	irrigation	systems,	describe	how	you	made	water	efficiency	a	priority	in	
system maintenance in 2008. Describe upgrades to existing systems that increased efficiency,
or ongoing maintenance practices that allowed you to detect leaks, replace faulty parts, or
otherwise ensure that the systems performed with optimal efficiency.

•	

If	you	perform	irrigation	audits,	describe	what	types	of	sites	you	audited	in	2008	(i.e.,	
residential or commercial) and for what types of customers (i.e., residential, commercial, or
municipal). Explain the existing condition of the sites and the recommendations that you
made for improvement. Report water saved, or potential water savings, if recommendations
were implemented.

•	

Provide	data	on	the	amount	of	water	saved	through	water-efficient	design,	maintenance,	or	
audits, if available. Explain how you tracked and used water savings data to demonstrate
benefits to current customers, attract new customers, or calculate return on investment.


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