8th Annual Roosevelt-Ashe Conservation Awards Nomination Form
Thank you for taking the time to nominate someone for their work in 2015 who has demonstrated a commitment to excellence in:
1. conservation science and education
2. wildlife advocacy
3. preservation of cultural heritage or
4. uniting voices to protect wild places and wild things.
Please select the nominee category
Nominee Information
Name:
Your answer
Business / Organization/School:
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Position/Title:
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Mailing Address:
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Phone:
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Email:
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Person Submitting Nomination
Name:
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Business / Organization:
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Title:
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Relationship to the Nominee:
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Mailing Address:
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Phone:
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Email:
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Please answer the following questions completely:
Describe the nominee’s involvement in one or more of the four criteria (Conservation Science and Education; Wildlife Advocacy; Preservation of Cultural Heritage; Uniting Voices to Protect Wild Places and Wild Things). State what the nominee does for the environment and how the nominee meets one or more of the above criteria. Word limit: 300 or one page (50 points)
Your answer
Describe the challenge(s) the nominee has addressed and what impact the nominee has had in addressing the challenge(s). State what the issue is, the geographic area and what population or community has been helped through the nominee’s efforts. Word limit: 300 or one page. (40 points)
Your answer
List the nominee’s achievements as they pertain to environmental conservation beginning with the most recent. These can include honors, affiliations and awards. Limit: one page. (10 points)
Your answer
Please – no more than 3 pages total. The selection committee primarily decides awards and finalists based on the information you provide. Being thorough is important but you should also be concise and to the point. If you want assistance completing your nomination form, please feel free to contact Hannah Morgan, Wild South Development and Communications Coordinator, at hannah@wildsouth.org or call (828) 258-2667.
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