NEBRASKA AGRIBUSINESS CLUB
Nomination Form
New Horizon Award
Nominee:
Address:
City: State: Zipcode:
Telephone: Email address:
Age of Nominee:
The New Horizon Award is intended to recognize upcoming leaders in agriculture and agribusiness who are 40 years old and younger.
Please select the category the nominee is involved with by marking with an “X”
Production Agriculture
Agribusiness
Other Agricultural Organization
Answer the questions below – Please provide as much background information as possible with your nomination (Including, but not limited to: hometown, education, employment, military service, memberships, honors/awards, and family.) Responses to the following questions should not exceed two pages.
At least two letters of support providing additional information must be submitted for the nomination. The letters may be sent separately to the address on the following page for receipt by July 15, 2016.
1. Please describe the nominee’s involvement with production agriculture, agribusiness or other agricultural organizations.
2. Please describe the nominee’s contribution to Nebraska Agriculture.
3. Please include other pertinent information about the nominee.
Name of individual making nomination:
Address:
City: State: Zipcode:
Telephone: Email address:
_________________________________________________________________________
Signature of individual making nomination Date
If the person you have nominated does receive the award,
will you introduce the honoree at the banquet?
_____ Yes _____No
_________________________________________________________________________
Name of individual completing this nomination if different from individual making nomination
________________________________________________________________________
Signature of individual completing this nomination if different from individual making nomination
NOMINATION AND LETTERS OF SUPPORT
MUST BE RECEIVED BY
JULY 15, 2016
-Nomination form and letters of support must be typed-
Send nomination and letters of support to:
Nebraska Agribusiness Club
PO Box 94891
Lincoln, NE 68509
Or electronically at