Phoenix Award Nomination Form

PHOENIX AWARD NOMINEE CONTACT INFORMATION 

The Nominee is: *

Clear Selection
Nominee’s Full Name: *
Nominee Contact Person Name: *
Nominee Contact Person Email Address: *
Nominee Contact Person Phone Number: *
Nominee Contact Person Position: *
Nominee Street Address: *
City/Town: *
State/Province: *
ZIP/Postal Code: *
Country: *
Web URL (If Applicable): *

NOMINEE AND PROJECT DETAILS

Give a brief summary of the Phoenix nominee. If the nominee involves a project, include the date of completion. *
(Maximum characters: 2000)
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Explain why the nominee merits a Phoenix Award for contribution to the preservation, conservation, or beautification of the travel area involved. If possible, include significant documented details. *
(Maximum characters: 2000)
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Did the nominee involve the community? If so, give details and list other agencies, resources or organizations that assisted. If not, please enter n/a. *
(Maximum characters: 2000)
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Explain the impact the nominee has had on the local community. If possible, include details on sustainability. *
(Maximum characters: 2000)
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List the challenges or obstacles the nominee overcame to meet the objectives of the project. This may include funding, politics, development issues, etc. *
(Maximum characters: 2000)
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List chronologically the schedule of major activities undertaken to complete this project. *
(Maximum characters: 2000)
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Photo 1 *
Photo 2 *
Photo 3 *
Photo 4 *

ABOUT THE SATW NOMINATOR

Full Name: *
Chapter: *
Phone: *
Email: *
When did you last visit the destination for the nomination project (include month and year)? *
(Maximum characters: 2000)
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Did the project destination host or financially subsidize all or any part of the visit? *
Did you visit the area after the site was preserved, conserved and/or beautified? *
If yes - what were your observations?
If no - enter n/a in this section.
*
(Maximum characters: 2000)
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Additional Comments:
*
(Maximum characters: 2000)
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PHOENIX AWARD PLAQUE INFO 

Please type the full name of the nominee as it should appear on an award plaque. *
Please type the name of the nominator as it should appear on an award plaque. *
To whom should the plaque be mailed if the nominee is selected as a winner? *



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