The Community Service Award
Descriptive Data Summary				Entry No. _____  

Please use an easily readable typeface no smaller than 10-point size.  This form may be single-spaced, but may only be two (2) pages total.  Complete and print out form and insert the two pages of this form to show as the first two views of the Entry Binder.  

Nominee:

Contact:

Address:

City/State/Zip:

Phone:				FAX: 			Email:

Time period pro bono service has been provided (dates):

Narrative Summary:  Please describe the nature of the pro bono services provided, the beneficiary(ies) of the service(s), how the service(s) impacted the community, and how the service(s) demonstrated sound principles of landscape design.

The Community Service Award
Descriptive Data Summary (page 2)			Entry No. _____