2008 AAEA Distinguished Service Award Nomination Form Name: ________________________________________________________________________ Affiliation: _____________________________________________________________________ City: ______________________________________ State: _________ ZIP Code: ____________ Nominee's Current Title and Responsibilities: __________________________________________ ______________________________________________________________________________ Honors and Awards Received by Nominee: ___________________________________________ ______________________________________________________________________________ Synopsis of Nominee's Contribution to Agriculture (use additional sheets to provide more information) ______________________________________________________________________________ ______________________________________________________________________________ Please attach letters from people familiar with the nominee's work. Those letters from friends and agricultural or civic leaders will strengthen the nomination. We also ask that you submit a photograph of the nominee. Name of Sponsor: _______________________________________________________________ Affiliation: _____________________________________________________________________ Address: ______________________________________________________________________ City: ______________________________________ State: _________ ZIP Code: ____________ Phone: _________________________ E-mail Address: _________________________________ Deadline for Nominations is April 30, 2008 Send nominations to: |