Wildlife Conservation Impact Award Nomination
Submit your nomination for outstanding contributions to wildlife conservation. Please provide detailed information to support the evaluation process.
Nominator's Full Name
*
First Name
Last Name
Nominator's Email Address
*
example@example.com
Nominator's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Full Name (Individual or Organization)
*
First Name
Last Name
Nominee's Affiliation or Organization Name (if applicable)
Nominee's Email Address (if known)
example@example.com
Describe the nominee's key contributions to wildlife conservation
*
Select the primary area(s) of conservation impact demonstrated by the nominee
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Habitat Restoration
Species Protection
Community Engagement
Research & Innovation
Education & Advocacy
Other
Provide a summary of measurable outcomes or impact achieved (e.g., number of species protected, area restored, community members engaged)
*
Upload supporting documents, images, or reports (optional)
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References or additional contacts who can verify the nominee's impact (name, organization, contact info)
Please rate the overall significance of the nominee's conservation impact
*
1
2
3
4
5
Evaluation Criteria Matrix
*
Rows
Exceptional
Strong
Moderate
Needs Improvement
Innovation in Approach
1
2
3
4
Community Involvement
5
6
7
8
Sustainability of Impact
9
10
11
12
Scalability/Replicability
13
14
15
16
Submit Nomination
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