N O M I N A T I O N   F O R M

(Please Tab between fields.  Do not hit Return.)

1. Name of person submitting nomination:

First     Last

Affiliation (if applicable) 

Phone          E-mail 

Web site Address (if applicable):

2. What is the name of the community?
(Examples: Chicago, Milwaukee Metropolitan Area, Napa Valley, Glenwood Village, Grant County)


3. State
***Please Select*** Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

4. Under which category is the community activity (project, program, event, local policy initiative and so on) doing great things for biodiversity? 

5.  Does this activity have a name, title, motto and/or short description?  (For example Zionsville's Backyard Habitats, Honolulu Bed & Breakfast Association, Burlington Gardens: Growing gardens and community in Burlington, Vermont)

6. Who are the individuals, groups or agencies responsible for the community activity?  

Need Help?  See Sample Nomination Form

7. How can/do community members learn about and participate in the community activity?


8. How has the community activity helped to make a significant difference for protecting
biodiversity?


9. Has the community been recognized (awards, media coverage, etc.)?  If it has been recognized, please provide a list of recognitions, date published, Web site address, etc.  If it hasn't been recognized, please type "no" into the space.

10. What are the primary goals for this activity over the next two years?

Need Help?  See Sample Nomination Form

11. In 5 sentences or less, please summarize why this is a Great Community for People
and Nature. 
For consistency between nominations, please reiterate the community name and location, what its doing for biodiversity protection, who's involved, most successful accomplishments, and goals for
the upcoming years. Please treat this paragraph as if it were the only description an individual will
read about your Great Community.

Need Help?  See Sample Nomination Form

12. Name of person/s (up to 3) that may be able to provide more in-depth information
about the community:
(If same as above, please type SAME in the First Name slot below)

First     Last

Affiliation (if applicable) 

Phone          E-mail 

Web site Address (if applicable):
 

First     Last

Affiliation (if applicable) 

Phone          E-mail 

Web site Address (if applicable):
 

First     Last

Affiliation (if applicable) 

Phone          E-mail 

Web site Address (if applicable):

Supporting Documents

To accompany your online nomination, we encourage that you send, via post or email attachments, photographs, brochures, news articles, etc. about the community.  These items WILL NOT be returned.  Please email them to tlee@biodiverse.org or send to Biodiversity Project, 214 N.
Henry Street, Suite 201, Madison, WI 53703.

Questions?

If you need paper copies of the Biodiversity Project nomination form or have questions, please feel
free to contact us by phone at (608) 250-9876 or via email tlee@biodiverse.org

READY TO SUBMIT?

* Once you press Submit, the information about the community will be sent directly to the
Biodiversity Project. 
If you need to make changes, please E-mail tlee@biodiverse.org.

* Now that you have COMPLETED your nomination, please press Submit.  

Thank you for your participation!!!

                
            
            Biodiversity Project
            214 N. Henry St.,  Suite 201
            Madison, WI 53703
            phone:  (608) 250-9876
            fax:  (608) 257 -351
            e-mail:  project@biodiverse.org
            www.biodiversityproject.org

The Biodiversity Project reaches out to Americans in ways that help them understand the
connections between nature and their daily lives.  Our mission is to advocate for biodiversity by designing and implementing innovative communication strategies that build and motivate a broad constituency to protect biodiversity.