SaskEnergy Volunteer Champion Nomination Form

Name & phone/fax #’s for one person who can be contacted for more information about this nomination:

ACHIEVEMENT OF THE YEAR - NOMINATION FORM

Name & phone/fax #’s for one person who can be contacted for more information about this nomination:

AGRICULTURAL SOCIETY ANNIVERSARY YEAR AWARD

Name & phone/fax #’s for one person who can be contacted for more information about this nomination:

Deadline for nominations: February 1, 2016

NOMINATION FOR HONOURARY LIFE MEMBER

Instructions

1. Deadline for nomination: February 1, 2015

2. Complete all section of the application form.

  • Use extra sheets if more space is required to adequately complete the nomination.

  • Application should be prepared by the Agricultural Society or Exhibition Association.

  • This honorary award is based on a member’s contribution to the local society (50 points), to the community in which they live (40 points), to the province, and where applicable, to the national scene (10 points).

Please attach a recent photo or email to – gduck.saase@sasktel.net

Application

A. Basic Information

B. Contributions to and responsibility to the local Agricultural Society and/or Exhibition Association

D. Contribution to and participation in provincial and national associations. Please be specific in naming as sociation work done and accomplishments

F. Historical and Family Information

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