1. Name of person, horse or burro to be nominated.(if horse or burro - please also provide owner/adopter's name)
2. Affiliation with organization or agency (if any).
3. Category of Nominee's contribution or achievement:(select all that apply)
a. Adoptionb. Rescuec. Trainingd. Educatione. Fosteringf. Government Agency
g. Lobbyisth. Program Managementi. Therapy Programj. Youth Programk. Other:
4. Briefly describe what outstanding contribution(s) the nominee has made to improve or promote wild horse and burro programs.
5. Give two examples of how the nominee has shown dedication and commitment to wild horse and burro program(s).
6. Describe any extraordinary challenges the nominee has overcome in his/her work with wild horse and burro programs.
7. How long has the nominee been involved in his/her work with wild horse and burro programs?
8. If nominee is selected for an award will he/she be able to attend the WSWHBE, August 21, 2005 in Reno, Nevada to receive their award in person?
9. Individual making nomination:
Deadline for entries is June 30, 2005Nominees will be notified of their entry via emailInductees will be chosen by majority vote of the WSWHBE CommitteeAward winners will be contacted prior to eventInductees will be awarded with a beautifully engraved plaque presented August 21, 2005 at the Western States Wild Horse and Burro Expo, Reno, Nevada