Entry Form for the Coal Heritage Awards
Due August 30, 2013
Award Category: ____________________________________________________
Nominee: ____________________________________________________
Affiliation or place of employment, if applicable, of the nominee:
____________________________________________________
Nominee’s Address: ____________________________________________________
Phone: _____________________________________________________
Email: _____________________________________________________
Person making the nomination: _____________________________________________
Address: _____________________________________________________
Phone: _____________________________________________________
Email: _____________________________________________________
Please include the following in your nomination:
1) On an attached sheet of paper, please write an explanation of why this person or organization is deserving of the award. Please provide descriptions of their work in coal heritage preservation within the National Coal Heritage Area and the impact their work has had on others. This should be no longer than one page in length.
2) Provide examples of work or photographs that document the project and support the nomination. Specifically, the Coal Heritage Marketing Award should include an example of the marketing piece. Other examples of support material may include photographs, brochures or up to three testimonial letters from others in your community. The supporting materials should clearly represent the work of the nominee. (This nomination form may be duplicated)