Agricultural Alumni Association, University of Georgia
2000 Nomination Form
Agricultural Hall of Fame
DEADLINE: POSTMARKED BY MARCH 15, 2000
Date:_________________________
Name of Nominee:________________________________________________
Living __________ Deceased __________
Date of Birth of Nominee: ___________________________________
Title or Position Nominee Holds or Held: ____________________________________________________
___________________________________________________________ ________________________
Address (if deceased, give closest relative's name and address):
_______________________________________________________
_________________________________________________________
Educational
Background:__________________________________________________
_________________________________________________________
_______________________________________________________
_________________________________________________________
On no more than 3 additional pages (8 ½ X 11, front only, 12 pt. font minimum.), discuss the following:
* Nominee's major contributions to Georgia agriculture
* Nominee's agricultural leadership roles, honors, awards
* Nominee's other major civic,
religious, public service contributions and achievements
* This form will serve as a standardized summary of all documentation on the nominee, and mustappear as the first page of the nomination. The committee will accept no more than 3 letters of recommendation.
Submitted
by:__________________________________________________________
_____________________________________________________________
Address & Telephone
Number: _____________________________________________________
Signature of nominee or family member
______________________________
