Friends of Extension Nomination 2003 by 03qZ8Xyu

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									                              Friends of Extension Nomination 2012
                                 Any ISUE or county employee may submit
                                      nominees for state consideration

                                 Deadline for submission is March 31, 2012




Submit as an e-mail attachment to Carol Peterson at carolp@iastate.edu (only e-mail
nominations will be accepted)

Length of nomination is not to exceed 2 typed pages.

Sponsored by the Iowa Chapter of Epsilon Sigma Phi

Name:________________________        Phone:_________________________

Address:________________________________________________________

Please specify if this is an individual ______ couple______ business_______

       1.     Give a brief description of the applicant's contributions to Extension programs
              both past and present:


       2.     What happened as a result of the applicant's efforts in relationship to Extension?




       3.   General information about the applicant's family, community services, activities.



Contact person(s) submitting the application: _______________________________
E-mail:______________________             Phone: _______________________

Note: If your nominee is an award recipient, we will need 2 electronic photos of the nominee.

								
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