Clark R. Bavin Wildlife Law Enforcement Award Application
To recognize those who demonstrate commitment and excellence in the enforcement of national and international wildlife protection laws
Nominee Information
Name of nominee:
*
First Name
Last Name
Affiliation of nominee:
*
Name of agency, department, or organization
Title of nominee:
*
Job or position title for nominee
Address for nominee:
*
Street Address
Street Address Line 2
City
State / Province / Country
Postal / Zip Code
Phone number for nominee:
*
-
Country Code
-
Area Code
Phone Number
Email for nominee:
*
example@example.com
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Nominator Information
Name of person submitting nomination:
*
First Name (or agency/organization name)
Last Name
Affiliation of person submitting nomination:
*
Name of agency, department, or organization
Title of person submitting nomination:
*
Job or position title of person submitting the nomination
Address for person/agency/organization submitting nomination:
*
Street Address
Street Address Line 2
City
State / Province / Country
Postal / Zip Code
Phone number for person submitting nomination:
*
-
Country Code
-
Area Code
Phone Number
Email for person submitting nomination:
*
example@example.com
Is this a posthumous nomination?
*
Yes
No
Name of family member if posthumous nomination
First Name
Last Name
Address of family member if posthumous nomination
Street Address
Street Address Line 2
City
State / Province / Country
Postal / Zip Code
Phone number of family member if posthumous nomination
-
Country Code
-
Area Code
Phone Number
Email of family member if posthumous nomination
example@example.com
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Additional Information
Why should the nominee be recognized with a Clark R. Bavin Wildlife Law Enforcement Award?
*
Please provide a detailed summary of the accomplishments of the nominee, emphasizing why the individual, agency, department, organization, operation, or team deserve to receive the award.
0/2000
Curriculum vitae/resume/biography for nominee (if available)
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Additional information supporting the nomination
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Please submit, if available, any additional information that you would like to be considered when reviewing the nomination, including any newspaper or magazine articles about the nominee's work and accomplishments, details of commendations previously received, and any letters from any supervisors, colleagues, and associates regarding the nominee's accomplishments.
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