ACESEO J.T. Alexander Award Application

April 15, 2019
in ACESEO

Directions:Complete and submit the J.T. Alexander Award Application by the designated due date.

Nominated by:(Required)

Candidate Name(Required)

Prefix First Middle Last Suffix

Title(Required)

Number of years in position(Required)

Office Location(Required)

Street Address Address Line 2 City State ZIP Code

Work Email(Required)

Work Telephone(Required)

Brief Narrative(Required)

Briefly describe, in no more than 200 words, why this individual is deserving of the J.T. Alexander Award. Describe their outstanding contributions to Extension including teamwork, job performance, cooperation, creativity, public relations, and general support of Extension programming.

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Nominated by:(Required)

If you were nominated by a current ACESEO, Inc., member, please specify who nominated you.

Self

Other

Name(Required)

Prefix First Middle Last Suffix

Title(Required)

Number of Years of Service(Required)

Office Location(Required)

Street Address Address Line 2 City State ZIP Code

Work Email(Required)

Work Telephone(Required)

Hire Date(Required)

Please write a 75-word summary of your Extension work.(Required)

This 75-word summary of your Extension Work will be placed in the Awards Banquet Program and will also be used to present award winners during the program.

ACESEO Thomas M. Campbell Award Application

Directions: Complete the Thomas M. Campbell Award Application by the designated due date. Applicants should have previously received the Award of Merit.

Nominated by:(Required)

If you were nominated by a current ACESEO, Inc., member, please specify who nominated you.

Self

Other

Name(Required)

Prefix First Middle Last Suffix

Title(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Work Email(Required)

Work Telephone(Required)

Years of Extension Full Time Service(Required)

Earned Degrees(Required)

Degree

Institution

Year

Membership(Required)

Are you a current paid member of ACESEO?

Yes

Number of years as an ACESEO member(Required)

Program Accomplishments(Required)

Describe one or two of your most outstanding accomplishments that have occurred in the past two years.

Professional Development(Required)

Use bullets to list trainings such as short courses, educational tours, credit/non-credit course work, professional association meetings, travel study, etc. taken during the past two years.

Honors and Awards(Required)

Please use bullets to list honors and awards you have received in the past five years.

Professional Association Membership and Participation(Required)

Please use bullets to list your membership in professional associations. Include year, offices held, and committees served.

Please write a 75-word summary of your entry.(Required)

This 75 word summary of your entry will be placed in the Awards Banquet Program and will also be used to present award winners during the program.

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Related Topics

ACESEO Forms and Templates

Letters

Forms

Financial Forms

ACESEO 25 Years of Service Award

ACESEO Thomas M. Campbell Award Application

State Office

Contact the State Office Locate nearest office

Contact the State Office