NCWF Governor's Conservation Achievement Awards

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Official Nomination Form

Email *

Nominee First Name *

Nominee Last Name *

Nominee Phone Number *

Nominee Email Address *

Nominee Mailing Address *

City *

State *

Zip Code *

Award Category* *

*Nominees may be nominated for more than one category, but a separate nomination form must be completed for each category.

Nomination Made By *

Nominator Daytime Phone Number *

Nominator Email Address *

Nominator Mailing Address *

City *

State *

Zip *

Nominee Achievements and Qualifications *

Please list the nominee's achievements or include an essay explaining why the nominee deserves the award. If available, please include information about the nominee's affiliations, past recognition, and other references for substantiation. Full documentation is needed by the Awards Committee - the only information the Committee will have is what you provide. Please detail the specific acts or merit on which the nomination is based. Resumes, CVs or other supplemental materials may also be submitted by email attachment to Sarah Hollis at sarah@ncwf.org or mailed to: NCWF Awards Committee, PO Box 10626, Raleigh, NC 27605.

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