Lake Michigan Champions of Conservation
2018 Nomination Form

Please fill out this form, save the file with the name of the nominee and the date of your submission, and email it to sherrill@lnrp.org no later than end of business day on May 1, 2018.

All nominations must relate back to work within the Lake Michigan basin.

Award categories:

Water Resources Protection: Projects that improve or restore degraded reaches of streams or rivers, lakes or wetlands in the Lake Michigan basin, or monitoring programs that can lead to improvements. Management actions that protect and improve the Lake Michigan fishery will also be considered.
Environmental Education and Outreach: Projects that advance knowledge and understanding of environmental issues, principles and stewardship through innovative communication and education methods.
Land Use Protection and Habitat Restoration: Focuses on the efforts of individuals or groups developing projects for the restoration and/or protection of unique or endangered regional ecosystems

Name of Nominee:

Contact person (Name and title of person representing nominee if different from the name of nominee):

Contact Information for Nominee or Contact Person:

Please include Title, Organization, Phone, Email, and Address (if available).

Award Category

Does the nominee know he/she is being nominated?

Nominator's Name:

Please enter your name and contact information below.

First Name

Last Name

Nominator's Contact Information:

Please include Title, Organization, Address, Phone, and Email.

What environmental need(s) within the community or organization did the nominee address?

What innovative solution did the nominee develop to address the identified need?

What effect or impact did the nominee have on the environment or community?

How did the nominee engage in collaborative planning and building partnerships?

Discuss the potential for sustainability of the project or leadership qualities of the nominee:

Include any additional information critical for the champion selection committee's consideration including the overall importance and scope of work:

Provide name and contact information for reference #1:

Include Name, Title, Organization, and Phone/Email

Provide name and contact information for reference #2:

Include Name, Title, Organization, and Phone/Email

Lake Michigan Champions of Conservation
2018 Nomination Form

Lake michigan Stakeholders

PO Box 224
Port Washington, WI 53074

Lake Michigan Champions of Conservation 2018 Nomination Form

Lake michigan Stakeholders

PO Box 224Port Washington, WI 53074

Lake Michigan Champions of Conservation
2018 Nomination Form

PO Box 224
Port Washington, WI 53074