Katherine Greacen Nelson Award Nomination Form

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This form is for nominating a deserving individual for the Katherine Greacen Nelson Award. The individual being nominated for this award should be someone who has made outstanding contributions to earth science in Wisconsin or Wisconsinites who have made outstanding contributions to earth science in general. If you feel the individual has accomplished one of these two traits please fill out this form below.

Nominator First Name *

Nominator Last Name *

Nominator Email *

Nominator Phone Number *

Relationship to nominee *

Family Member

Friend

Work College

Other

If you answered other to the question above please specify

Nominee First Name *

Nominee Last Name *

Nominee Email *

Nominee Phone Number *

What contributions has this individual made to earth science in Wisconsin or earth science in general? *

Why is this individual deserving of this award? *

Is there anything else the panel of judges should know about this individual and their efforts to help them make a decision for this award?

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