2019 Climate Adaptation Leadership Awards Nomination Form
Thank you for your interest in nominating a group or individual for the 2019 Climate Adaptation Leadership Awards!

Please be sure to review the Eligibility and Criteria for nominations here: https://www.wildlifeadaptationstrategy.gov/award-nominations-criteria.php

For any other questions or concerns, please contact wildlifeadaptationstrategy@fws.gov or Maggie Ernest Johnson at mjohnson@fishwildlife.org.

Your name *
Your answer
Your Organization *
Your answer
Your Email *
Your answer
Your Phone number *
Your answer
Your relationship to nominee *
Your answer
Name of nominee *
As it would appear on the award (ie. for individuals "Jane Doe" or for a group "Adaptation Agency/Department/Collaborative" etc.)
Your answer
Title and organization *
For a group, you can include the title of the project if applicable. For individuals, please include their job title and organization.
Your answer
Email of nominee *
For a group, include a name and email for the lead contact.
Your answer
Phone number of nominee *
For a group, include a name (if different than above) and phone number for lead contact.
Your answer
Address of nominee *
This is where the award would be sent if the awardee could not receive it in person.
Your answer
In which category should your nominee be considered? *
Geographic scope of nominee's work *
Your answer
Ecosystems addressed by nominee's work *
Your answer
Please provide a succinct summary of your nominee's work *
200 characters max.
Your answer
Which of the National Fish, Wildlife, and Plants Climate Adaptation Strategy goals are addressed by your nominee's work? *
Please choose the top 3 goals addressed by your nominee's work
Required
Please describe how these National Fish, Wildlife, and Plants Climate Adaptation Strategy goals have been implemented by this project or advanced by this individual, group, or organization. *
600 characters max.
Your answer
Nominations will be ranked based on the following criteria. Please describe how your nominee's work has been PROACTIVE *
PROACTIVE: promotes preparation and response in ways that advance the resilience of natural resources in a changing climate | 200 characters max.
Your answer
Nominations will be ranked based on the following criteria. Please describe how your nominee's work has been INNOVATIVE/ TRANSFORMATIVE *
INNOVATIVE/TRANSFORMATIVE: Develops and/or applies innovative tools/approaches to advance the resilience of natural resources in a changing climate | 200 characters max.
Your answer
Nominations will be ranked based on the following criteria. Please describe how your nominee's work has had RESULTS/EFFECTIVENESS *
RESULTS/EFFECTIVENESS: Employs highly effective proven strategies and/or obtains results in improving resilience of natural resources and/or resource-dependent communities to a changing climate | 200 characters max.
Your answer
Nominations will be ranked based on the following criteria. Please describe how your nominee's work has been or could be REPLICATED *
REPLICATION: The effort is being replicated elsewhere or has high potential for replication (eg. across regions, sectors, or nation-wide) | 200 characters max.
Your answer
Nominations will be ranked based on the following criteria. Please describe how your nominee's work has been COLLABORATIVE *
COLLABORATIVE: Demonstrates outstanding collaboration to advance the resilience of natural resources in a changing climate | 200 characters max.
Your answer
Reference #1 *
Please include: Name, title, organization, and contact email and phone number
Your answer
Reference #2 *
Please include: Name, title, organization, and contact email and phone number
Your answer
Reference #3 *
Please include: Name, title, organization, and contact email and phone number
Your answer
Thank you for your nomination for the 2019 Climate Adaptation Leadership Awards! We will be in touch with you as soon as our reviewers make their final decisions. If you have any feedback on how we can make the nomination process better, please let us know below. Good luck!
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