FOUNDERS’ MEDAL NOMINATION FORM
Deadline March 1
Candidate’s Name
Job title/freelance, volunteer, or consulting role
Organization (if relevant)
Address
Email
Phone
Nominated by
Your name
Email
Your email address
Phone
Your phone number
Please describe the nominee’s achievements and impact in the conservation and promotion of healthy, biologically diverse landscapes.
350 words maximum
Please include any supporting materials, such as a list of publications, current projects, and/or links to other supporting documentation.
350 words maximum
Submit
Never submit passwords through Google Forms.
This form was created inside of Native Plant Trust. Report Abuse