TAMS Steering Committee Member Nomination - ITEP Applications

TAMS Steering Committee Member Nomination

Nomination Form

* Required fields.

* Date:

Nominee Information:

* First & Last Name:

* Phone:

* Address:

* City:

* State: Two(2) letter abbreviation.

* Zip:

* Email:

* Tribe (employer):

* Job Title/Position:

Examples of tribal environmental service in which Nominee has demonstrated leadership:

Examples of tribal environmental service in which Nominee has demonstrated commitment:

Examples of tribal environmental service in which Nominee has demonstrated community involvement:

Examples of the success and impact of Nominee's environmental service:

Your information (nominator):

* First & Last Name:

* Phone:

* Address:

* City:

* State: Two(2) letter abbreviation.

* Zip:

* Email:

* Tribe (employer):

* Job Title/Position:

* If you experience technical difficulites with this form, please contact ITEP Website Administrator at 928/523-1326 or email at ITEP@nau.edu