Community Stewardship Nomination Form

*All fields are required for processing.

Please ensure that you have read nominee eligibility rules prior to nominating a potential candidate

Nominator Information

Nominator's First Name:
Nominator's Last Name:
Street Address:
City:
Postal Code:
Phone:	- (999) 000-0000
E-mail:

Nominee Information

Please check the box beside the appropriate award category. Please note that awards in the ‘Other’ category may include, but are not limited to, awards for enduring achievement, climate change (adaptation and/or mitigation), youth, or posthumous recognition.

Individual
Organization/Group
Other

Name of project or description of work:

Nominee's First Name:
Nominee's Last Name:

Street Address:
City:
Postal Code:
Phone:	- (999) 000-0000
E-mail:

Project Description

Please provide the following information about the nominated project:

1) What was/is the overall purpose of the project or work?

Please describe the activities and events of the project or work. Provide details about who was involved in the project - planning, promoting and funding it.

2) Describe how the project was related to the object of the Islands Trust:

How did the project encourage activities consistent with the mandate of the Islands Trust as outlined in the Islands Trust Policy Statement? Did it protect, enhance or restore the natural environment? Did it add to the economic sustainability of an island community? Did it support the social life of an island?

3) Describe the benefits of the project in the community or in the Trust Area.

Describe how the project was or will be meaningful and lasting to the community or to the entire Trust Area. Who benefits? How much? For how long will the benefits last?

4) Describe how the nominee collaborated with others.

How did the nominee collaborate with others and broaden support for the project? How many people were involved in the project or work?

5) Describe how the project or work was particularily innovative.

How did the project create new ways of doing things or develop new solutions? Was there innovation in the degree or type of community participation?

6) Describe the degree to which the community supported and became involved in the project or work.

How broadly did members of the community support the project and become involved in it to achieve success? Did the nominee build bridges, avoid alienating those with other ideas and reach out to those who might not be natural supporters of the project or work?

7) If the project or work addresses climate change, describe how the project reduces greenhouse gases and/or prepares your community to adapt to climate change.


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