Action For Nature International
Young Eco-Hero Awards

INTERNATIONAL YOUNG ECO-HERO AWARDS
2009 APPLICATION

Read the Announcement
Read the Guidelines

Contact Information of Applicant

First Name _______________ Last Name ____________________
Address _________________________________________________
City _____________ State/Province ____ Postal Code ______
Phone _______________________ Fax _______________________
Email ______________________ Are you male or female? ____
Date of Birth _____________ Age on February 28, 2009 ____
Name of School ____________________ Year in School ______

Please use additional pages to answer ALL of the following questions, in order, and number your answers. Note that the maximum number of pages accepted is fifteen (including attachments). Please do not send bound copies.

1. What is the title of your project?
2. Give a one-sentence description of your work.
3. How did you hear about the Young Eco-Hero Awards?
4. What inspired you to undertake your activities?
5. What did you do?
6. When did you start and end the project?
7. What are the goals of your project?
8. How did you accomplish your goals?
9. What goals have you achieved (with dates)?
10. Who else contributed to your program's success?
11. What have you learned from your project?
12. How did this experience change you?
13. If your project is continuous please describe your involvement. Also, briefly describe any other environmental activities you work on.
14. Regarding your project, how have you have educated, persuaded and reached out to others (talks, presentations, news articles, etc.)?
15. What are your plans for the future?
16. Supply the name, phone number and email address of an adult outside of your family who knows about your project, and specify your relationship to this person. Attach their business card, if available.
17. Write a list describing your supporting materials. These could include newspaper clippings (include name, date and page number of publication), photographs, websites, etc. Enclose copies, not originals, with your application. Make sure that everything is on the same sized paper, and remember to identify all enclosures with the name and the title of your project.

Signature ___________________________ Date ______
Signature of Parent or Guardian ______________ Date _____
Printed Name of Parent or Guardian _____________________
Email Address of Parent or Guardian ____________________

Applications must be postmarked by February 28, 2009
Award winners will be notified in May 2009

Action For Nature
2269 Chestnut St. #263
San Francisco CA 94123 USA
Phone: (415) 421-2640
Fax: (415) 922-5717
Email: awards@actionfornature.org