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
______________________________
