Outstanding Soil and Water Conservation District Commissioner Award

07/13

OUTSTANDING SOIL AND WATER CONSERVATION DISTRICT COMMISSIONER AWARD NOMINATION FORM

(due July 1 at the IDALS-DSCWQ office)

Candidate’s Name District

Address City/State/Zip Code Phone

Past and present activities as a commissioner: Years as a commissioner As assistant commissioner

How many regular meetings attended annually?

·  What leadership role do you hold as a commissioner?

·  Describe how your personal conservation ethic is expressed?

·  Committee service (such as education, finance, stewardship, publicly, outlook, watershed, drainage) (please explain input to each listed:)

·  Other special service to district and conservation programs:

Past and present activities in regional, state, and national district commissioner associations:

Is candidate a member of State Association? National Association?

Does nominee attend regional meetings? Annual State Conference? NACD meetings?

Please list any offices and committee memberships in State or National Association:

Other special service to these associations:

Other conservation activities:

Please list membership and activities in conservation groups (such as Soil and Water Conservation Society, Izaak Walton League, Sierra Club):

Please list membership and activities in action groups such as RC&D committee, parks or conservation board, planning and zoning, land use:

Please attach any additional remarks, letters of recommendation, testimonials, etc. that may be helpful to the judges. Use additional sheets if necessary.

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Signature of Person Making Nomination Date of Nomination

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Address