Upsilon Chapter of Epsilon Sigma Phi


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State Award Application

EPSILON SIGMA PHI ‑ State Award Application

Nomination Form for: 

(Nominate an individual for one category only)

Chapter/State Only    

    ___ State Meritorious Service Award

    ___ State Friend of Extension Award   

    ___ State Meritorious Support Service Award

    ___ State Retirees Service Award    

    ___ State Tenure 25-Year Recognition Award (no form needed)


Candidate's Name:


Candidate's Current Address:



Accomplishments and Contributions:

(Describe the candidate's significant accomplishments as an Extension worker or contributions as a Friend of Extension.)



(Add text here.)











Submitted by:__________________________________          


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