NOMINATION FORM | CREATION CARE COHORT

Are you someone who cares about the environment, land preservation and natural resources? Are you a young professional or emerging leader who wants to become more educated on how to become an ambassador for creation care work or environmental justice? We want to know about you! OSHANNA is here to support your goals. Fill out the nomination form below for consideration for our cohorts and if you need accessible accomodations with this form, of any kind, please email hello@oshanna.org and someone will assist. We look forward to speaking with you soon. Planeteers unite!

How Did You Hear About OSHANNA?

Nominator's Name

Nominator's Phone

Nominee's Name (if different)

Nominee's Phone (if different)

Nominee's Email Address

Does the Nominee Agree to Cooperative Agreements? Does the Nominee Agree to Cooperative Agreements? Yes, as the Nominator/Nominee, I have read and agree to the Cooperative Agreements [https://oshanna.org/cooperative-agreements] Not sure, the Nominee does not know they have been nominated. Please email them the link, once/if accepted!

Often, our donors and grant reports will require us to report demographics. That said, how does the Nominee identify? [check all that apply] Often, our donors and grant reports will require us to report demographics. That said, how does the Nominee identify? [check all that apply] 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65+ years old Black White Latino/a Asian American Indian or Alaska Native Native Hawaiian/Pacific Islander Male Female US Citizen US Legal Immigrant First-Generation Farmer First-Generation Entrepreneur First-Generation College Graduate Artist Community Herbalist Community Gardener Environmental Leader Facilitator Jewish Christian Spiritual Agnostic Islam Hindu Buddhist Atheist Other Religion/Faith

Name a significant contribution the Nominee has made towards their local or regional environment?

Name a significant contribution that nature and the environment has made on the Nominee's overall wellbeing?

At OSHANNA, we believe that creativity is not limited to those that call themselves artists, and can be expressed in a variety of mediums and lifestyles. How has the Nominee used their creative talents?

Share the Nominee's journey with traditional education and what they hope to gain from this cohort.

Share a link to the Nominee's portfolio (i.e. LinkedIN profile, Linktree, website, blog, or sample video)

Which of the Cooperative Agreements does the Nominee most closely embody? How?

Anything else you think we should know?

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