RequiredRequired Question(s)
Required 1.

Please give the first and last name of the person you are nominating:


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Required 2.

Title and organization of nominee (it is not required that they be associated with any organization):


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Required 3.

Explain how this person has built excellent partnerships with others:


350 characters left.
Required 4.

This award will recognize those that significantly and positively have impacted the South Mountain region by contributing to its sense of place through promoting or conserving its natural and cultural assets.  Special consideration will be given to those who have helped further the South Mountain Partnership's Strategic Plan.

Tell us how your nominee has contributed towards this:


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Required 5.

Tell us how your nominee will have had a long-term and postive impact on the region and its sense of place:


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Please enter the information indicated below.  We will contact you if we would like to discuss your nomination more AND will contact you if we will be giving an award to your nominee.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
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Home Phone:
Email Address:

If you would like to submit additional documents, links, etc... about this nominee, please e-mail them to Kim Williams, South Mountain Partnership co-lead at the Appalachian Trail Conservancy at (please no more then 4 MB attachments).