CCA Award
Nomination Form
Nominee Name:
First Name
Last Name
CCA Number:
Nominee Mailing Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee Phone Number:
-
Area Code
Phone Number
Nominee E-mail (if available):
Nominee Employer (if available):
Your Name:
First Name
Last Name
Your Mailing Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Phone Number:
-
Area Code
Phone Number
Your E-mail:
1a. What skills or initiatives has this CCA displayed in his/her crop advising career that sets him/her apart from their colleagues? For example, field days to highlight new technologies and emerging issues, meetings with growers to review season successes and failures, writing a grower newsletter, etc. (40 points)
1b. Does this CCA have any Specialty Certifications? For example, the 4R Certification.
2. List CCA program involvement, i.e. serving on a CCA committee or the Board, organizing CCA events, promoting continuing education, promoting their own designation or company involvement, writing articles for publication, distributing CCA brochures to producers, etc. (25 points)
3. Describe the scale and scope of crop advising work being done. Please include specific situations where the CCA is involved in daily field decisions and crop production advice. For example, the type of clientele, acres responsible for, crops, particular areas of focus or specialty. (20 points)
4. Other volunteer service within and outside the agriculture industry. For example, sports teams/coaching, local soil and/or crop improvement associations, Ag in the Classroom, local hospital boards, religious affiliation responsibilities, involvement in charities, etc. (15 points)
5. How many years of crop consulting experience does this CCA have?
6. The County Farm Bureau president must give their approval for this nomination. If you are not the county Farm Bureau president, have you gotten their approval for this nomination?
Please Select
I am the county Farm Bureau President
Yes
No
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