2011 Budweiser Conservationist of the Year Nomination Form

National Fish and Wildlife Foundation and Budweiser are seeking nominations for the 2011 Budweiser Conservationist of the Year Award. The award recognizes individuals who have made significant volunteer contributions to the outdoors and conservation. To nominate an individual for the award simply fill out the following information.

The deadline for nominations is September 10, 2010.

The Budweiser Conservationist of the Year selects a conservation organization to receive a $50,000 grant from Budweiser and the Foundation. The three runners up each direct a $5,000 grant to a conservation organization of their choice.

Nominee
Name:
Organization:	(If applicable)
City:
State:
Phone:
Nominator
Name:
Organization:	(If applicable)
City:
State:
Phone:
E-mail Address:	(Required)
1. Briefly describe the nominee’s qualifying accomplishments (Note: To be eligible, the nominee's accomplishments must be voluntary in nature.):
2. What noteworthy conservation project(s) or activity(ies) has the nominee been involved in recently? What was the significance of the nominee’s involvement?
3. How has the nominee served to inspire others to make contributions on behalf of the outdoors and conservation?:
4. List any organizations that the nominee has been associated with:
For assistance, please contact Tom Kelsch at tom.kelsch@nfwf.org or (202) 857-0166.