NACEB Annual Friend of Extension Award Application
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Email *
Date *
MM
/
DD
/
YYYY
Nominee Information
Name of Nominee *
County *
Award Category *
Biographical Data
Education *
Employment *
Honors or Awards Received *
Membership, Leadership of Volunteer Roles in other Organizations *
Significant Advocacy Actions and Representations for Nebraska Extension *
Nominee Biographical Data (please include the following information:  education, employment, honors of awards received, membership in other organizations) *
Nominee's Significant Advocacy Actions and Representation for Nebraska Extension *
Does the nominee know of this application? *
If no, who should be notified (please include email and phone number)? *
Your Name
Applications are due by November 20, 2021
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