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:__________________________________          

Email:_________________________________________________

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