Nomination Form

Please choose applicable award:

Frederick B. Mumford Award
Outstanding Faculty (criteria)
Outstanding Staff (criteria)
Distinguished Service (criteria)

Outstanding Teacher Award (criteria)
Junior Faculty
Senior Faculty

Outstanding Adviser Award (criteria)
Undergraduate Advising
Graduate Advising

Distinguished Researcher Award (criteria)

J.W. Burch State Specialist Agriculture and Natural Resources Extension Award (criteria)

Nominee Information

*Name: (First and Last)

Title:

*E-mail address:

Campus Address:

Department:

Division Director:

Number of years in CAFNR: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20+

Nominator Information

*Name: (First and Last)

*E-mail address:

Campus Address:

*Phone:

*Required