Lifetime Conservation Leadership Award
Nomination Form

Nominator
By submitting your nomination, you agree to assist WeConservePA if your nominee is selected for the Lifetime Conservation Leadership Award by: 1) Providing photos that reflect the span of the recipient's career; 2) Gathering testimonials about the recipient's work and character and; 3) Working with the recipient to develop an invitation list for the award presentation ceremony.
Name*
First Last
Organization
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Title
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Email*
Phone*
Nominee
Name*
First Last
Organization
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Title
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Is this individual aware that he/she is being nominated?*
Email*
Phone*
Upload file*
Accepted file types: docx, pdf, doc, Max. file size: 2 MB.

Please submit an approximately 500-1500 word (1-3 page) narrative explaining why this individual should be considered for this award. Please focus on the individual’s accomplishments in advancing conservation rather than other awards they may have received. (PDF, doc, or docx accepted, 2MB maximum file size)

Nominator