2009 Island Steward Nomination Form

CATEGORY OF NOMINATION:

Shoreline Stewardship
Village Stewardship (town, village, hamlet, neighborhood)
Business Stewardship
Farmland Stewardship
Woodland Stewardship
Individual Stewardship

NOMINEE:

Name:

Place of Business:

Mailing Address:

Physical Address:

Email:

Phone:

REASON FOR NOMINATION:

See award guidelines for criteria. Can be individual items or sentences; keep to 500 words/fewer.

SUBMITTED BY:

(self nominations are welcome)

Name:

Mailing Address:

Email:

Phone:

IS THE NOMINEE AWARE THEY'VE BEEN NOMINATED?

The nominee IS or IS NOT aware that they have been nominated (if they are aware, it is assumed that they accept the nomination).