Burgum Staff Award Nomination

NDSU Agriculture established this annual award to recognize significant contributions to the mission of NDSU Agriculture by support staff in technical and paraprofessional, crafts/trades or services positions. Nominees must be in the 4000, 6000 or 7000 job band and have at least three years of continuous service in a staff position with an appointment in the College of Agriculture, Food Systems, and Natural Resources; North Dakota Agricultural Experiment Station; or NDSU Extension. Nominations are inclusive to technical and paraprofessional, crafts/trades or services staff positions on- and off-campus. Contact your supervisor’s office or Kris Holt in the Ag Budget office if you have any questions about the job band.

Nominations will be accepted from any employee but are limited to one nominee per department or unit (county office, district office or Research Extension Center).

Nominee's name

First NameLast Name

Nominee's title (include academic rank, if applicable)

Current office/department

Initial NDSU position

Year joined NDSU

Other position(s) at NDSU and year(s) attained

Degrees earned (B.S., M.S., Ph.D., other), discipline, university

Attach a photo of the nominee

Browse Files

(High-resolution photo(s) preferred. Maximum file size: 300 MB. A photo may be provided later. Contact ndsu.vpag@ndsu.edu with questions.)

Provide a summary of the nominee’s current job duties. (3,000 character limit, including spaces)

Provide a succinct summary and evaluation of the nominee’s significant contributions to the NDSU Agriculture and/or Extension mission and their impact on the program. Explain why the nominee is especially well qualified to receive this award.(3,000 character limit, including spaces.)

0/3000

Provide specific examples of the nominee’s job performance and effectiveness. (3,000 character limit, including spaces.)

0/3000

Provide specific examples of the nominee’s professional qualities. Select three of the following to highlight: dependability, initiative, judgement, creativity, communication skills, cooperation with coworkers. (3,000 character limit, including spaces.)

0/3000

Provide examples of the nominee’s commitment to professional growth/job development (courses, workshops, continuing education, etc.) Links may be included. (3,000 character limit, including spaces.)

0/3000

Additional pertinent information (awards, special circumstances, etc.); links may be included.

Attach a PDF of the nominee’s current job description

Upload a File

(Maximum file size: 300 MB)

Attach a PDF letter of support an individual who works closely with the nominee

Upload a File

(Maximum file size: 300 MB)

Attach a PDF letter of support from the nominee’s supervisor. If the supervisor is the nominator, the letter may be from another individual who works closely with the nominee.

Upload a File

(Maximum file size: 300 MB)

Provide one concise sentence that embodies the nominee’s contribution, which may be shared at the award ceremony. This may be your own statement or a quote from one of the letters of support.

Nominator name

First NameLast Name

Nominator title

Nominator location (department/unit)

Nominator relationship to nominee

Nominator email address

So that we can get back to you

Nominator phone number

Format: (000) 000-0000.

Email address of person entering nomination

(Complete only if different from nominator’s email address. This person will also receive the submission confirmation email.)

After clicking Save/Submit, you will receive an email confirmation containing your submitted information. You may update your submission until 12:00 p.m. on October 19.

Please note that the form may take a minute to save. Keep your browser window open until the “Thank You!” message appears.

Rick and Jody Burgum Staff Award