NSS Cave Conservancies Committee Member Application

Cave Conservancy Home

Use this form may be used to become a member of the NSS Cave Conservancies Committee

This form may be downloaded and sent as a hard copy to:

John M. Wilson, 9504 Lakewater Court, Richmond, VA 23229-6010

or e-mailed to: wilsonjml@msn.com

Name: ____________________________________ NSS Number: __________________________

Address: ________________________________________________________________________

E-mail: __________________________________________________________________________

Web site (URL): ___________________________________________________________________

Phone: __________________________________    Fax: ___________________________________

List participation in any land trusts or cave conservancies: ______________________________________

_________________________________________________________________________________

Other information relevant to this application: _______________________________________________

_________________________________________________________________________________

I would like to do the following work as a committee member: check all that apply

___    Encourage Cave Conservancies to affiliate with the NSS

___    Encourage people to establish cave conservancies and land trusts

___    Encourage individuals to manage caves and set up informal conservancies

___    Serve as a liaison with the Land Trust Alliance

___    Serve as a liaison with a specific Land Trust Alliance or cave conservancy

___    Serve as a liaison with cave management committees within the Nature Conservancy

___    Serve as a liaison with specific cave management units within specific governmental units

___    Provide research for additional cave conservancy information to be published on this Web site and other places

___    Provide conservancy related photographs in electronic format for this web site and other uses

___    Other ________________________________________________________________________________________________