Environmental Stewardship Awards Nomination

<form-template>
	<fields>
		<field type="paragraph" subtype="p" label="Please Note:  Any personal information collected on this nomination form will be used solely for Lac La Biche County’s Environmental Stewardship Award Nomination Process. This information will not be released to any third parties, retained or collected for any other purpose. Anyone may submit a nomination, including oneself. Please use one form for each nomination submission.  For further information, please email green@laclabichecounty.com or call 780-623-6739." class="paragraph"></field>
		<field type="header" subtype="h2" label="Award Nominee" class="header"></field>
		<field type="text" subtype="text" required="true" label="Name" description="First and Last Name" class="form-control text-input" name="text-1642029309413"></field>
		<field type="text" subtype="text" label="Organization (if applicable)" description="Organization the nominee conducted work for." class="form-control text-input" name="text-1642029345452"></field>
		<field type="text" subtype="text" required="true" label="Mailing Address" description="The nominee's full mailing address including postal code." class="form-control text-input" name="text-1642029424195"></field>
		<field type="text" subtype="email" required="true" label="Email Address" description="The nominee's email address" class="form-control text-input" name="text-1642029466420"></field>
		<field type="text" subtype="text" required="true" label="Phone Number" description="A number the nominee can be reached during business hours" class="form-control text-input" name="text-1642029499546"></field>
		<field type="header" subtype="h2" label="Award Category" class="header"></field>
		<field type="select" required="true" label="Choose one of the categories below:" class="form-control select" name="select-1642029574009">
			<option value="Community" selected="true">Community</option>
			<option value="Youth">Youth</option>
			<option value="Agriculture">Agriculture</option>
		</field>
		<field type="header" subtype="h2" label="Nominated by" class="header"></field>
		<field type="text" subtype="text" label="Name" description="First and Last Name" class="form-control text-input" name="text-1642029770469"></field>
		<field type="text" subtype="text" label="Mailing Address" description="Full mailing address including postal code" class="form-control text-input" name="text-1642029797056"></field>
		<field type="text" subtype="text" label="Email" description="Email of the person making the nomination" class="form-control text-input" name="text-1642029823653"></field>
		<field type="text" subtype="text" label="Phone Number" description="A phone number you can be reached during business hours" class="form-control text-input" name="text-1642029869955"></field>
		<field type="textarea" required="true" label="Describe the nominee’s contributions and achievements in relation to environmental stewardship. Involvement in environmental programs/projects should be included. Write as much as you like. Supporting visual representation, such as photos, is encouraged." class="form-control text-area" name="textarea-1712847735704"></field>
		<field type="file" label="File Upload (for photos - optional)" class="form-control file-input" name="file-1712847765440" multiple="true"></field>
	</fields>
</form-template>

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