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January 06, 2009
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Hugh Hammond Bennett Nomination

Completing the following questionnaire will further help ensure that the nominee is eligible for this category and will sere as the award nomination. Supporting material and responses to questions 3 and 4 should be attached to this form.

Contact Information:

Person or group
submitting nomination
(include contact name)

  

Phone/email

  

Address

  

City

  

State/Province

  

Zip/Postal Code

  

Name of nominee

  

Address

  

City

  

State/Province

  

Zip/Postal Code

  

Occupation

  

Employer

  

Title/position/phone/email

  

Questions:

1. Is the nominee a current member of the society’s Board of Directors

[ ] Yes (If yes, the nominee is NOT eligible for this award

[ ] No

2. Please indicate the scope of the nominee’s accomplishments:

[ ] Nationwide (The scope of the accomplishments is not large enough to be eligible for this award

[ ] International

3. Describe the nominee’s accomplishments in the conservation of soil, water, and related natural resources.

4. Briefly explain how the nominee’s accomplishments relate to the society’s mission.

Supporting Material:

Attach additional pages as needed to complete your responses to the above questions. Summarize information about the nominee’s education, biographical and employment history, honors, and other information, which relates to and supports the nomination. Provide specific and comprehensive information on the nominee's service to the Society (e.g. positions held, activities, achievements), as well as specific information on the nominee's professional activities.  If the candidate's career and service involved different jurisdictions, ensure that adequate information is given regarding service to other Chapters and locations.  The nomination must also be accompanied by a professional Curriculum Vitae.

Award nominations may be submitted by email to: sueann.lynes@swcs.org or by U.S. Postal Service (1 copy only) to SWCS-Awards, 945 SW Ankeny Road, Ankeny, Iowa 50023-9723). Nominations must be received by December 12.  Both forms of submission will receive a confirmation of receipt. Late nominations will not be considered.


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All Rights Reserved.
945 SW Ankeny Road
Ankeny, Iowa 50023
P 515-289-2331
F 515-289-1227

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