NACD/NACD Auxiliary National Conservation Poster Contest
Attach this entry form to the back of every poster being entered.
Please Print
STUDENT INFORMATION
First Name _______________________ MI _____ Last _____________________________
Address ______________________________________ Home Phone __________________
City ____________________________________ State ________ Zip __________________
School ______________________________________________ Grade ________________
School Address ___________________________________ School Phone ______________
City ____________________________________ State ________ Zip __________________
____ The poster is an original completed by the student.
____ The student received assistance from another person or materials/ideas from another
source.
If so, please explain on another piece of paper.
CONSERVATION DISTRICT ENTERING POSTER
District ____________________________________________________________________
Contact __________________________________________ Title ______________________
Address ________________________________________________ Phone ______________
City ____________________________________ State ____________ Zip ______________
STATE CONSERVATION ASSOCIATION, STATE AUXILIARY OR STATE AGENCY
Name: Michigan Association of Conservation District Employees (MACDE)
Contact: Mary Fleissner Title: Region 2 Representative
Address: P.O. Box 574 / E106 South Drive Phone: (906) 753-4663
City: Stephenson State: Michigan Zip: 49887
