Career Impact Award Nomination Instructions

The Career Impact Award is awarded annually to a person with 15 or more years as a Cooperative Extension Family Life or Human Development State Specialist.

Nomination letters should respond directly to the criteria below. Self-nominations are welcome. The nomination letter should not exceed three pages. In addition, provide an abbreviated vita for the nominee. The abbreviated vita should not exceed five pages. The nomination letter and the abbreviated vita should both be formatted with 1-inch margins and 12-point font.

A.  Nomination information.

·  Nominator's contact information: (Name, Title, Telephone Number and e-mail address)

·  Nominee's contact information: (Name, Title, Telephone Number and e-mail address)

·  State(s) in which nominee is (has been) employed by Cooperative Extension:

·  Cumulative number of years nominee has served as an Extension Family Life and Human Development State Specialist:

B.  Describe the nominee's significant contributions regarding two or three impactful Family Life and/or Human Development Extension programs (e.g., face-to-face courses, printed resources, train-the-trainer curricula, social media, on-line programs, etc.). For each, describe the nominee’s role (e.g., development, implementation, evaluation, etc.) and outputs (e.g., participants reached, copies sold, adoption/usage by other states, partnerships established, web analytics, etc.).

C.  For each of the programs detailed above, describe significant outcomes and impacts (e.g., skills learned, policy enacted, conditions improved, etc.).

D.  Describe the nominee's reputation, leadership, and influence both inside and outside their home state (e.g., regionally, nationally, on-line, within Communities of Practice, etc.).

E.  Describe any unique circumstances, special considerations, or distinctive factors regarding why the nominee should receive the Career Impact Award.

E-mail nomination letter and abbreviated vita by December 20, 2016 to . If you are unable to send your nomination via e-mail or if you have questions, please call Jean Edwards at 435-797-2205 or contact Dr. Brian Higginbotham at 435-797-7276 or .