Minnesota Honorary State Degree Nominations
Due February 1
Name of Nominee
*
First Name
Last Name
Title of Nominee (if applicable)
Occupation/Employer of Nominee
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Does this nominee hold the Chapter FFA Honorary Degree?
*
Please Select
Yes
No
What chapter presented the nominee with the Chapter FFA Honorary Degree?
*
Who is making this nomination?
*
First Name
Last Name
Phone number of nominator
*
Please enter a valid phone number.
Email of nominator
*
example@example.com
MAJOR CONTRIBUTIONS: List and explain major contributions the nominee has made to advance agriculture and/or the agricultural education/FFA program in Minnesota.
*
OTHER ACCOMPLISHMENTS/RECOGNITIONS: Indicate major accomplishments and/or recognitions by other groups or organizations which may relate to the contributions this individual has made.
*
OPTIONAL: Additional information: Please share any additional information that was not captured in the previous questions.
Submit
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