CONSERVATION AWARD
Nomination Form


Committee Chairperson Bob Jones, is accepting nominations for the Chapter’s 1998 Conservation Award.  If you know of an individual who deserves recognition for her/his outstanding contribution to wildlife conservation, please take the time to submit a nomination:

 Dr. Robert E. Jones
 P.O. Box 96,
 Portage la Prairie, MB  R1N 3B2

Deadline for Nominations:  28 February, 1999

Nominee:    _______________________________________________________________________
Address:_______________________________________________________________________
             _______________________________________________________________________
Phone Number__________________________________________________________________
Present Position:_______________________________________________________________
Academic Career:______________________________________________________________
(use additional paper  ______________________________________________________
  if required)   ______________________________________________________
Professional Career:  ______________________________________________________
(use additional paper  ______________________________________________________
  if required)   ______________________________________________________

Nomination Statement:  Attach a type-written statement explaining why this individual is deserving of the Manitoba Chapter’s Conservation Award.  Please explain the single accomplishment or series of accomplishments that places this individual above his/her peers.  Include information on other awards and honors received, TWS offices held, etc.  Any relevant news clippings, letters, documents for this nominee may be attached.

Submitted by:  ______________________________________________________
Address:  ______________________________________________________
Phone:   ______________________________________________________