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2022 AgriGrowth Distinguished Service Award Nomination Form
Please fill out this form to nominate an Individual, Team or an Organization that has made a significant contribution to strengthening food systems and agriculture in Minnesota. DEADLINE: JULY 11, 2022
1. I would like to nominate:
I would like to nominate a/an:
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Individual
Team
Organization
Reason For Nomination
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Explain why your nominee deserves to be selected for this award - be sure to list years of service to MN agriculture, role or positions held, significant achievements, or leadership or history in MN agri-food.
2. Nominee Information
Nominee's Name
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First Name
Last Name
Nominee's Company
Nominee's Phone Number
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Area Code
Phone Number
Nominee's E-mail Address
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Nominee's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
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The Bahamas
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Belgium
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
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Chad
Chile
China
Christmas Island
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Colombia
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Cook Islands
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Cuba
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Cyprus
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Democratic Republic of the Congo
Denmark
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Jordan
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Mayotte
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Montenegro
Montserrat
Morocco
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Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
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Solomon Islands
Somalia
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South Africa
South Ossetia
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Suriname
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eSwatini
Sweden
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Syria
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Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
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Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3. Your Information
Your Name
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First Name
Last Name
Your Company
Your E-mail Address
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Your Phone Number
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Area Code
Phone Number
Send Nomination
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