2017 Endangered Heritage Sites Nomination Form
Personal information will not be published and will only be used when further information is required. The deadline for submissions is midnight on 20 August 2018

Any questions about the judging process can be directed to Jacques Stoltz - jacques@placematters.co.za. For technical assistance or if you would prefer to submit via email please contact James Ball - jamesball01@gmail.com.

Search the threads on The Heritage Portal to view existing endangered sites. http://www.theheritageportal.co.za/threads

Contact Name *
Your answer
Contact Email *
Your answer
Contact Number *
Your answer
Organisation (if applicable)
Your answer
Website (if applicable)
Your answer
Name of Site *
Your answer
Site Coordinates
Please provide coordinates from google maps. You can do this by zooming into the site in google maps and then copying and pasting the coordinates from the web address bar (-26.2042917,28.0423062). You can also copy and past the link if this is easier (https://www.google.co.za/maps/@-26.2042917,28.0423062,41m/data=!3m1!1e3)
Your answer
Location of Site *
In addition to the coordinates please provide an address and/or directions to the site.
Your answer
Significance of Site *
Describe why this site is important. Please include as many details as possible.
Your answer
Why is the site endangered? *
Describe the threats to this site. Please include as many details as possible.
Your answer
Photos
Please send as many high res photos to jamesball01@gmail.com. These should capture the significance of the site as well as highlight why it is endangered. These will be published on The Heritage Portal tracking thread and sent to media outlets as part of the publicity campaign. Please only send us photos where you or someone from your organization has the copyright.
Describe potential solutions *
Please include details of people and organisations that can make a difference when describing potential solutions
Your answer
Who is the local champion?
Is there a person who can track progress at the site over time? Please supply contact details. Leave blank if this is the same as the contact person.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms