Lake Michigan Champions of Conservation 2017 Nomination Form

Please fill out this form and submit it no later than Friday, April 14, 2017.

Choose the award category: All nominations must relate back to the waters of the Lake Michigan basin:

  • Water Resources Protection: Projects that monitor or improve streams, rivers, lakes or wetlands. 
  • Environmental Education and Outreach: Projects that establish or improve communication and education about water quality issues for the general public, youth, and/or stewardship programs.
  • Land-Use Protection and Habitat Restoration: Projects that focus on improving land development decisions to restore or protect water quality.

Choose the nominee category: All nominations must focus on work within the Lake Michigan basin:

  • Individual
  • Business
  • Organization
  • Policy Maker

Please include Title, Organization, Phone, Email, and Address (if available).
Nominator's Name: *
Nominator's Name:
Please enter your name and contact information below.
Please include Title, Organization, Address, Phone, and Email.
Include Name, Title, Organization, and Phone/Email
Include Name, Title, Organization, and Phone/Email