Impact in Action Award Form
* Indicates a required question
Applicants First and Last Name (Fill this out if you are applying for yourself. If you are nominating someone, please type NA)
Your email address (Fill this out if you are applying for yourself. If you are nominating someone, please type NA)
Nominator's Name (Fill this out if you are nominating someone. If you are applying on behalf of yourself, please type NA)
Nominator's Email. Please leave blank if you are nominating yourself. (Fill this out if you are nominating someone. If you are applying on behalf of yourself, please type NA)
School affiliated with your/nominee IslandWood experience (What school was the student attending when they participated? Was the educator connected to a particular school at the time of their IslandWood experience?)
Year(s) student/nominee attended IslandWood program (If you don't remember or know exactly, that's okay - a general range is helpful too!)
IslandWood Program Participated In
Please select...
Brightwater Education Center School Day Programs (Woodinville)
Brightwater Community Events
Summer Camps (Brightwater)
Summer Camps (Bainbridge Island)
Bainbridge Island Community Events
Community Waters Teacher Professional Development
Creekosystem Field Trip
Duwamish River Program
IslandWood Graduate Program
Localizing Science Programs Teacher Professional Development or Working Group
Salmon in the Schools (Carkeek Field Trip, Salmon Releases, or raising salmon in school)
School Overnight Program
South Treatment Plant School Day Programs (Renton)
Teacher Professional Development Workshop
Tell us about your/the nominee's experience here. Below are a few prompts to get you started. If you'd rather upload a Word or pdf document,
you can do so here
.
Student Applications/Nominations:
What did you/the nominee learn from IslandWood that helped you/the nominee make a difference?
Why was it so inspiring?
What and how did you or the nominee do as a result? Please share some details!
What kind of impact did that action have on the environment and/or your/their community? Please share some details!
Educator Applications/Nominations:
What did you/the nominee learn from IslandWood that helped you/the nominee make a difference?
How have you used what you learned about nature-based learning through an IslandWood program to deepen your students' connection to the natural world?
What impact has this had on your students?
If you like, you can record a video instead of, or in addition to, answering the written prompts above. Videos should be 5 minutes or less, please!
Please upload your file here
. Submitted videos may be used in future IslandWood communications.
Contact Information
