Please fill out the form below by 5 p.m., Wednesday, March 15, 2017. For assistance, contact Amy Mugford at the Department of Economic Development.

Signatures of Loudoun 2017 Design Excellence Program Entry Form

Purpose

To recognize buildings, interiors, places and details that, together, make Loudoun County unlike any other.

Eligibility

Any physical project completed in Loudoun County (note that special events are not eligible). Consideration for energy efficiency, sustainability, and community economic benefit may be highlighted as a component of each submission, regardless of category. Additional information can be found on the rules and eligibility page


Please complete the following information.
Project name as it should appear on award:*
Project location:
Why do you consider your project a Signature of Loudoun? (150 word limit): *

Nominator Information
Nominator's name:*
Nominator's email:*
Nominator's address:*
Person to receive award
Recipient's name:*
Recipient's role in project (owner, architect, designer, etc.):*
Recipient's email:*
Recipient's address:
Owner's information
Owner's name:*
Owner's email:*
Owner's address:
Primary architect or designer's information
Primary architect or designer's name:*
Primary architect or designer's email:*
Primary architect or designer's address:
Additional information
Individuals and companies to receive award certificates (for distribution by award recipient)
Photography
Photographer for photo credit:*
Upload photos:
Photographer's email:
Release
I have read the application and understand all entries will be retained by the Department of Economic Development, and the material retained is unequivocally cleared for use in publicity and publications by Loudoun County Government.
I agree to these terms and conditions.:*