Grasslands Stewardship Plan Interest Card

Please provide the following information to receive current information and updates on the Grasslands Stewardship
Plan. This community stewardship project focuses on developing awareness and planning recommendations for the
future use and preservation of the wetland complex that lies within the boundaries of the Grasslands Ecological Area.
You may also indicate your interests in the wetlands, and in the opportunity to actively participate in the planning
process.

Item's with red * are required.

Title: Mr Ms Dr Pastor Ph.D Jr Sr

*First Name:

*Last Name:

Title/Position:

*Address:

*City:

*State:

*Zip Code:

*Phone1 xxx-xxx-xxxx:

*Phone1 Type: Work Home Cell

Phone2 xxx-xxx-xxxx:

Phone2 Type: Work Home Cell

Email:

Would you be interested in receiving a newsletter or periodic updates
on the Grasslands Stewardship Plan?: Yes  No

1. Do you have any familiarity with the Grasslands Ecological Area?: Yes  No

If Yes, please check all that apply to you, as a:
Hunter
Fisherman
Farmer/Rancher
Developer
Homeowner/Landowner
Other

2. Would you be interested in serving on a Stakeholders Advisory Committee to examine issues affecting the Grassland Ecological Area?
This will require participation in 5 to 6 meetings over the next 18 months to 3 years.: Yes  No

3. If so, please select your areas of interest:
Conducting a public awareness campaign
Developing a long-term stewardship plan
Collecting community input on issues
Restoring habitat