Created in 1998, this award recognizes club members under the age of 30 who have a demonstrated record of service to the environment. Includes an award of up to $500 to further the work of the recipient(s).
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1. Basic information about the nominee.
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| *Nominee's Full Name(s): |
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| *Nominee's Address: |
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| *Nominee's City: |
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| *Nominee's State: |
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| *Nominee's Zip: |
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| *Nominee's Phone: |
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| *Nominee's Email: |
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| Nominee's Group: |
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| Nominee's Chapter: |
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| Name of Chapter Chair: |
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If this nomination is for group- or chapter-related work, does the nominee's group or chapter ExComm support this nomination?
Yes No |
| *Nominee's Age: |
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| *Nominee's Date of Birth: (mm/dd/yy) |
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2. Qualifications for the Award.
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| *What accomplishments qualify the nominee for this award? Make your case here that the nominee above deserves this award. |
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*If this nominee receives this award, how will your group or chapter use the prize money? |
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| *Does your group or chapter have an account with the Sierra Club Foundation? If so, please give the name or number of the account. |
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Has this nominee received previous recognition for his/her work?
Yes No |
| If yes, by whom? When? |
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Names and addresses of local newspapers to notify if nominee wins: |
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| Group Newsletter: |
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| Contact Info: |
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| Chapter Newsletter: |
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| Contact Info: |
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3. Basic information about yourself.
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| *Your Full Name: |
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| *Your Club role: |
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| *Your Address: |
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| *Your City: |
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| *Your State: |
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| *Your Zip: |
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| *Your Phone: |
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| *Your Email: |
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Documentation is critical for most awards. In addition to the above information, nominations should include a set of supporting materials such as news clippings, testimonial letters, and samples of the nominee's work. Please put supporting materials in a binder and mail it to: Ellen Davis, 405 E. 10th St., Georgetown TX 78626. Please do not send large attachments or multiple attachments by e-mail.
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