Main Nomination Form for 19 Sierra Club Honors and Awards

Main Nomination Form

A red asterisk (*)
means the information is required.

1. Select the Award from the pulldown menu below. Brief descriptions of each award are available here.

*Name of Award:

2. Basic information about the nominee(s).

*Nominee's Full Name(s):

*Nominee's Address:

*Nominee's City:

*Nominee's State:

*Nominee's Zip:

*Nominee's Phone:

*Nominee's Email:

Nominee's Group:

Nominee's Chapter:

Name of Chapter Chair:

If this nomination is for group- or chapter-related work, does the nominee's group or chapter ExComm support this nomination?
Yes     No

3. Qualifications for the Award.

*What accomplishments qualify the nominee for this award? Make your case here that the nominee above deserves this award.

Has this nominee received previous recognition for his/her work?
Yes     No

If yes, by whom? When?

Names and addresses of local newspapers to notify if nominee wins:

Group Newsletter:

Contact Info:

Chapter Newsletter:

Contact Info:

4. Basic information about yourself.

*Your Full Name:

*Your Club role:

*Your Address:

*Your City:

*Your State:

*Your Zip:

*Your Phone:

*Your Email:

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.

Questions? Contact Awards Committee Chair Ellen Davis.

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