Date ________________

Nomination of ________________________________________________________________
(complete name of nominee)

for the SRM ____________________________________________________________Award.
(name of specific award)

1. NOMINEE:
   1. Date and place of birth (optional)
   2. Address with zip code
   3. Occupation, Profession, Employer
   4. Telephone number (s)
   5. Member of SRM? __________ If so, for __________ years.
      (yes/no)
2. NOMINATOR(S):
   1. Name (s)
   2. Address
   3. Telephone number(s)
3. NOMINEE'S EDUCATION, TRAINING, AWARDS
4. NOMINEE'S ACTIVITIES IN SOCIETY FOR RANGE MANAGEMENT
5. NOMINEE'S PROFESSIONAL CONTRIBUTIONS TO RANGE MANAGEMENT
6. NOMINEE'S ACTIVITIES/MEMBERSHIP IN OTHER ORGANIZATIONS
7. OTHER NOMINEE BIOGRAPHIC INFORMATION
8. JUSTIFICATION STATEMENT(S) FROM NOMINATOR(S)

   Please limit nominations on the above format to a maximum of five (5) pages for the nomination. *No smaller type than 12 characters per inch.*

9. SUPPORTING DOCUMENT(S) - Letters of support, digital photos, etc. Please limit supporting documents to a maximum of five (5) pages.
   • All letters of support should come from someone other than the nominator(s).
   • If a nomination is received which is longer than a total of 10 pages, it will be returned - unevaluated - to the nominator for revision and resubmission the next year.**

   Please send your nomination via email to Vicky Trujillo (vtrujillo@rangelands.org) by April 30th each year.

   If you are not able to send an electronic nomination, please send a hard copy to:
   Awards Nominations
   Society for Range Management
   10030 W 27th Ave
   Wheat Ridge, CO 80215-6604
   

   ***Please make sure you are submitting for the appropriate category.***