2012 Ecology Leadership Award

The Michigan Farm Bureau Ecology Leadership Award is awarded to the farm or farmer whose natural resources stewardship practices contribute to the protection of the environment, while maintaining or enhancing productivity and profitability.

You have been nominated for the award by your County Farm Bureau. In addition to your nomination, they have submitted a letter of support. To complete the nomination process, your completed application needs to be postmarked by June 30, 2012. You are welcome to include additional information with your application; the application and any supplemental information are limited to six pages total. This page does not count toward the total.

Scoring:

Scoring of applicants will be based upon the information provided on this application and your County Farm Bureau’s letter of support. Applicants also must be Michigan Farm Bureau members in good standing.

Scoring will be based upon the following criteria:

Letter of support from your County Farm Bureau 5 points

Environmental Stewardship 30 points

Leadership in Conservation 20 points

Farm Bureau Involvement 15 points

Knowledge of Issues 15 points

Future Goals 15 points

Total 100 points

The completed application needs to be returned with a postmark date of no later than June 30 to:

Michigan Farm Bureau

ATT: Agricultural Ecology Department

PO Box 30960

Lansing, MI 48909-8460

The application and any supplemental information are limited to six pages total.

nominee Information:

Name of nominee(s):

Nominee(s) address:

Nominee(s) home phone: mobile phone:

Nominee(s) email:

I give Michigan Farm Bureau the ability to use my photograph and information contained on this evaluation form for promotional use related to this award. All information provided is true to the best of my knowledge.

Nominee(s) signature(s): _____________________________________________________ Date: _________________

The completed application and any supplemental information are limited to six pages total.

Farm Operation:

Describe the farming operation:

Environmental Stewardship:

List the environmental practices implemented on your farm (e.g., soil testing, crop rotation, buffer strips, CNMP, etc.):

List the size and scope of your participation in any conservation program (e.g., EQIP, WRP, CREP, CSP):

Have you attended a MAEAP Phase 1 educational seminar? Yes No

Has your farm been MAEAP verified? Yes No

If yes, in what system(s) [check all that apply]: Livestock Farmstead Cropping

Is your farm currently in the process of completing MAEAP verification? Yes No

If yes, in what system(s) [check all that apply]: Livestock Farmstead Cropping

Leadership in Conservation:

List your leadership role in local, state or national conservation organizations and/or government agencies (e.g., Conservation District, watershed groups, advisory committees).

Organization and Leadership Position Held:

List any awards you have received for conservation efforts and environmental stewardship.

Organization and Award:

Farm Bureau Involvement:

Indicate your involvement with the county, state and national Farm Bureau organizations.

Organization and Leadership Role:

Knowledge of Issues:

What do you feel will be the top three environmental priorities for Michigan agriculture in the next five years?

Future Goals:

What are your goals to continue environmental stewardship efforts on your farm and in your community?

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