Wisconsin Monarch Champion Nomination Form

Question Title

* 1. Your contact info

Name

Email Address

Phone Number

If you are nominating a group or organization, select a contact person for that group when entering contact information.

Question Title

* 2. Nominee's contact info

Name

Email Address

Phone Number

Question Title

* 3. Nominee's Occupational Title

Question Title

* 4. Relationship between you and nominee

Question Title

* 5. What types of monarch-saving work has this individual, group, or organization taken part in? Check off all that apply.

Installing or promoting the installation of new monarch-supporting habitats

Enhancing or promoting the enhancement of existing habitat

Participating in citizen science projects such as Journey North, the Monarch Larva Monitoring Project, or the Integrated Monarch Monitoring Program

Reducing/eliminating use of insecticides, herbicides and fungicides

Sharing monarch conservation information on social media, such as the Wisconsin Monarch Collaborative website

Teaching others about monarch butterflies and their habitats.

Hosting an educational event about monarch butterflies.

Other

Question Title

* 6. At what scale(s) does this person work? Check off all that apply.

Individual (Develops monarch habitat at their home, property, etc.)

Urban lands (Parks, school yards, community spaces, etc.)

Agricultural lands

Protected lands (multi-acre landscapes)

County

Statewide

Other

Question Title

* 7. In more detail, please describe how the work that this individual, group, or organization does has made a significant, positive impact on monarch conservation in Wisconsin. max word count 350

Question Title

* 8. Upload up to 5 images that helps tell the story. (Optional, but highly recommended)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Question Title

* 9. Second photo

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Question Title

* 10. Third photo

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Question Title

* 11. Fourth photo

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Question Title

* 12. Fifth photo

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Question Title

* 13. Photo rights

I hereby give the Wisconsin Monarch Collaborative and its members rights to use these photos on their website and social media. (Required for photos to be considered)