Nomination_form_def._versie

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Nomination of sites for the
Wild Europe Field Programme
Yes, I have read the brochure “Wild Europe Field Programme” and I think there
definitely are possibilities to develop new nature in large regions in the next twelve
years. Therefore I would like to ask your attention for an area where this initiative
could be implemented in the future. ARK/FREE/WWF/Eurosite will contact me if
they agree it is a good potential project, to discuss my nomination further.
Name:
Organisation:
Tel. number:
Email address:
For your information by separate mail (or as an attachment to this form) I will
send a map of the proposed region and I have answered the next questions:
Characteristics of the proposed region
1. name of the region:
2. protected areas in the region; name & size:
3. the region is (partially) a Natura 2000 site: yes / no
4. the region contains the following habitats: forest / freshwater wetlands / marine
/ meadows / mountains / intensive agriculture / extensive agriculture /
pastures
5. I estimate the area of the region suitable for nature development to be……… ha
6. the region has or will have a lot of abandoned agricultural land for which a
nature development purpose could be an interesting alternative economic
option for the local communities: yes / no
7. the region is bisected by one or more major infrastructural works (e.g. super
highways, high speed railways, hydropower dams): yes / no
8. there are about ……. (estimated number) people living in the area
9. local people in the region are leaving the rural areas: yes / no
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10. there are towns and villages in the region, namely:………
11. the nearest city (10,000 inhabitants) is less than …... km away, namely:………
12. in the last five years there have been serious forest fires in this region: yes/no
13. big wild herbivores or semiwild herbivores live in the region, namely:……..
14. predators and scavengers live in the region, namely:………
15. some herbivores, predators, scavengers or other key-species are missing,
namely:……….
16. in the next 6 years there are good perspectives for (re)introduction of the
following species:…………..
Other characteristics
17.
my organisation is a Governmental institution /
international NGO / national NGO / local NGO
18.
the main type of economic activity in the region
is……………
19.
possibilities for own financial funds: yes/no
20.
there is support for the ideas for wilderness by local
people: yes/no
21.
22.
there is support for the ideas for wilderness by local
and regional policymakers: yes/no
please name a few of the stakeholders:……………..
For your further information, I will write some explanatory notes below using
no more than two pages.
Thank you very much for your attention and I am looking forward to hear from
you before 1 October 2009 so we can discuss the possibilities this region has
to offer for the Wild Europe Field Programme!
Please mail this form and map preferably before 1 August 2009 to:
wilderness@freenature.eu
or sent it by regular mail to: FREE
Obrechtstraat 33,
6815 BN Arnhem,
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www.freenature.eu
www.wnf.nl
You can download this form from the participants' websites
Netherlands
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