Completing the following questionnaire will further help ensure that the nominee is eligible for this category and will serve as the award nomination. Supporting material should be attached to this form.
Contact Information:
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(include contact name)
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Name of nominee |
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Questions:
1. Please check the description that best describes the nominee for this award:
[ ] Citizen Group
[ ] Business
[ ] Association
[ ] Government Agency
[ ] Publication
[ ] SWCS Chapter (SWCS Chapters are not eligible for this award.)
2. Is the activity, product, or service for which the nominee is nominated in keeping with the mission?
[ ] Yes
[ ] No (If no, the nominee is NOT eligible for this award.)
3. Please check the description below that best describes the nature of the activity, product or service:
[ ] The result of an organized program
[ ] The result of an individual's actions (Stop, such an activity, product, or service is NOT eligible for this award.)
4. Please check the description that best describes the geographic area affected by the activity, product, or service.
[ ] One county (STOP, the activity, product, or service does not affect a large enough area to be eligible for this award.)
[ ] Less than 25% of the state/province area (STOP, the activity product, or service does not affect a large enough area to be eligible for this award.)
[ ] 25-50% of the state/province
[ ] 50-75% of the state/province
[ ] Statewide/province wide
[ ] Multi-state/multi-province
[ ] Nationwide
[ ] International
5. Please check the description that best describes the audience that was principally affected by the activity, product, or service;
[ ] Professional conservationist (An activity, product, or service that principally affects professional conservationist is NOT eligible for this award.)
[ ] Others (Not professional conservationist)
6. Did the activity, product, or service in some way bring discredit to similar or competing organizations?
[ ] Yes, (If yes, the activity product, or service is NOT eligible for this award.)
[ ] No
7. Describe the activity, product, or service in enough detail to adequately support this nomination.
8. Briefly explain how the activity, product, or service relates to the Society's mission.
Supporting Material:
Attach additional pages as needed to complete your responses to the above questions.
Award nominations may be submitted by email to: sueann.lynes@swcs.org. You may also submit Award nominations by U.S. Postal Service (1copy only) to: SWCS-Awards, 945 SW Ankeny Rd, Ankeny, IA 50023. All nominations must be received by December 12. Both forms of submission will receive a confirmation of receipt. Late nominations will not be considered.
