Hall of Fame

Nominee Information

First

Last

Suffix

Date

Address

City/Town

State/Province

ZIP/Postal Code

Employee Status

Former Employee

Resource Professional

Private Citizen

Affilation

Start Date of Effort in the Cause of Conservation

End Date of Effort in the Cause of Conservation

Date of Death (if deceased)

Nominated By

First

Last

Suffix

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Affilation

Phone

Address of Relative

Address of Nearest Living Relative (if deceased):

Contributions

Explain in detail the outstanding contributions of the nominee over the course of the individuals’ lifetime that shifted resource management paradigms and/or changed the landscape of conservation in Missouri. (These contributions must be documented on this form or by attached supporting material).

Recognition

Recognition by others for conservation efforts (awards, certificates, newspaper/magazine articles, etc.) Please list, and attach copies if available:

References

References, endorsements, or letters of support from individuals knowledgeable of the nominee’s work on behalf of conservation. Please list the names of the individuals and attach their supporting materials.

Files

Maximum 5 files.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx.

Local Contacts

Local Contacts

Hall of Fame

In This Section

Hall of Fame Form