SaskEnergy/SAASE Awards Program Nomination Form

Name of individual/individuals being nominated: (nominee may be an individual or a couple)

List briefly, up to five reasons for making this nomination:

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

Name

Telephone

Fax

Name of Nominating Organization:

ACHIEVEMENT OF THE YEAR - NOMINATION FORM

Name of individual or organization being nominated:

Category of Awards

List briefly, up to five reasons for making this nomination:

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

Name (2):

Telephone (2):

Fax (2):

Email (2)

Name of Nominating Organization (2):

AGRICULTURAL SOCIETY ANNIVERSARY YEAR AWARD

Name of Agricultural Society:

Anniversary Celebrated in 2023 for which a certificate is to be presented at the annual convention (check one):

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

Name (3):

Telephone (3):

Fax (3):

Email (3):

Name of Nominating Organization (3):

Deadline for nominations: December 31, 2022

NOMINATION FOR HONOURARY LIFE MEMBER

Instructions

1. Deadline for nomination: December 31, 2022

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

Name (4):

Address (including Postal Code)

Occupation

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

1. Executive Position Held & Period of Time:

2. Special Projects and Accomplishments:

C. 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

Name of Organization or Association Involvement and Participation

E. Other supporting evidence such as special awards, achievements, recognition and accomplishments other than those previously listed

F. Historical and Family Information

Date of Birth

Place of Birth

Name of Spouse

Names of Children

Places Lived and Employement:

G. Name of Sponsoring Agricultural Society

Name of Presidet, Secretary, or Chairmain, Nominating Committee

Please attach a recent photo. (JPG, JPEG or PNG)

This is a captcha-picture. It is used to prevent mass-access by robots. (see: www.captcha.net)

Please confirm that you are not a script by entering the letters from the image.

Saskatchewan Association of Agricultural Societies and Exhibitions