Legislator Recognition Award

This form is available in Word or PDF format.

Entries must be received at the PACD office no later than 4:00 p.m. on December 15, 2008.

Eligibility: A Legislator will be recognized for his or her outstanding efforts that have furthered the activities and accomplishments of conservation districts or the PACD on a statewide basis. Nominations for this award may be submitted by PACD members. Award recipients will be selected by PACD Executive Board members.

Eligible individuals:

• Federal and state senators
  
• Federal and state representatives

Nominee Profile:

Name: _________________________________________________

Title: __________________________________________________

Mailing Address: _________________________________________

______________________________________________________

Telephone: (_______)_____________________________________

Please describe the nominee's activities that have helped to further Pennsylvania's 66 county conservation districts.

Consider the following points in noting accomplishments:

• Support of conservation district policies and/or PACD policies
  
• Leadership on conservation issues at the state level
  
  • Has he or she championed any conservation legislation
    
  • Committee activities involving conservation legislation
    
• Describe his or her relationship with the PACD or county conservation districts in their region
  
• Securing financial support for the PACD or Pennsylvania's county conservation districts
  
• Personal time commitment to conservation district related activities
  
• Unique or special accomplishments in the field

Limit your narrative to four, double-spaced, typed pages.

Personal Background (education, career, conservation related activities outside of conservation districts, etc.)
_______________________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

Endorsements and supportive materials are limited to ten pages, front and back, including photographs, resumes, letters of support, and newspaper articles.

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Nomination made by:

Name: ________________________ of _________________ County Conservation District.

Or

Name: _________________________ of the PACD Executive Board.


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Date


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Signature of Nominator