League of Snohomish County Heritage Organizations 
P.O.Box 1773  Marysville WA 98270

Heritage Award Nomination Form for projects completed in 2016

Please supply the name, address, email address and phone number of the person completing this nomination.

Name: 		________________________________________________
Address:	________________________________________________
		________________________________________________
Phone:		________________________________________________
Email:		________________________________________________

Fill out answers to the questions below. You may expand as needed and add photographs or additional materials as necessary.

1.	What is the name or title of the project?

2.	Name of sponsoring organization or primarily responsible person?

3.	When did the project begin and when did it end?

4.	In the space below, please summarize the project in one paragraph (This will be adapted for publicity and descriptive information for the projects).

5.	Fully describe the project; if you need more space, use additional pages.  Include community involvement, sources of funding and other support, inspiration for the project and its goals.  Describe the project clearly and completely.  This may be the only contact the judges will have with your project and they will need to have a full understanding of it to do a fair evaluation.  Attach any additional documentation (and photographs, if appropriate) you feel will assist the judges.

6.	What was the project's significance to preservation or interpretation of Snohomish County history?

7.	If there was a principal individual associated with the project, who was it and how may we contact her or him?