WVCA - Watershed Nomination Form

Watershed Nomination Form

All fields except "Fax" must be completed or your application will not be received.

* Required
Please do not use "\"; "/"; or "#" in your Watershed Name or you will receive errors and your nomination may not be received.

* Required * Required

* Required

* Required * Required * RequiredInvalid zip code

Phone: ()* Required * Required - * Required Fax: () -

* RequiredInvalid email address

Please answer the following questions in a sentence or short paragraph each to complete the nomination:

1. What makes your group and watershed unique?

* Required Chars Remaining:

2.What accomplishments are you most proud of during the time period of May 1, 2016 through April 30, 2017?

* Required Chars Remaining:

3. Who are your watershed "CHAMPIONS"? What makes their effors extraordinary?

* Required Chars Remaining:

4. What does your group do that you think others can learn from?

* Required Chars Remaining:

5. What is the greatest need in your watershed that your group seeks to address?

* Required Chars Remaining:

Please continue to page 2 to submit your information and to upload 2-4 pictures to showcase your work.

PLEASE HAVE YOUR PICTURES READY TO UPLOAD BEFORE CONTINUING TO THE NEXT PAGE. YOU WILL NOT BE ABLE TO RETUN TO THE PAGE TO UPLOAD PHOTOS AFTER CLOSING YOUR BROWSER.

The West Virginia nonpoint source program does not discriminate on the basis of race, color, na

tional origin, gender, or handicap.

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