Nomination for Golden Spade Award
Please complete all relevant sections of the nomination form (if known).
Award Category
Golden Spade
You can nominate your entire branch if there is no standout individual.
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The aim of the restoration and/or establishment of ecosystems through planting and/or other management (weeding etc)
How effective is the voluntary work undertaken? Is the success of planting and management being monitored (have
plants survived, what after-care is being undertaken eg. weed control?)
The number of native plants planted each year
How many people (branch members and non-members) took part
Any background stories about your branch’s management and/or planting project and the people involved.
NB: It does not matter who owns the land planted or if non-Forest & Bird members helped at plantings.
Nominator Details
Nominator Name:
Contact Name (if different to above):
Phone:
Home:
Cell:
Work:
Address:
Email:
Nominee Details
Nominee Name:
Phone:
Home:
Cell:
Work:
Address:
Email:
Authorisation
Signed:
Position:
Date:
Golden Spade Nomination Form 2016
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Reasons Supporting Nomination
Please use additional pages if necessary.
Golden Spade Nomination Form 2016
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Other Information
Has the nominee been informed of this nomination?
Is the nominee a member of the Society?
Referees (people who can be contacted to support the nomination)
Referee Name:
Phone:
Home:
Cell:
Work:
Address:
Email:
Referee Name:
Phone:
Home:
Cell:
Work:
Address:
Email:
Please attach any supporting documentation and forward the nomination form to:
Executive Assistant
Forest and Bird
PO Box 631
WELLINGTON 6140
Or L.corrigan@forestandbird.org.nz
The closing date for nominations is Friday 26 February 2016.
OFFICE USE ONLY
Nomination received:
Date:
Initials:
Acknowledgement Sent:
Date:
Initials:
Golden Spade Nomination Form 2016
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