Rough Draft of Nomination Form

Steve D. Ruhl Agriculture &

Natural Resources County Extension Award

2015 Nomination Form

Deadline: October 20, 2015

Special Note: The Steve D. Ruhl Award will be awarded to a current (Oct 1st) OSU Extension ANR Educator. NACAA Hall of Fame Award should be considered for OSU Extension Retirees. NACAA Hall of Fame Award applications should be available in the December issue of The County Agent magazine with an application deadline on or around March 15th.

Nominee’s Name: ______

Nominee’s Address: ______

______

County Employed: ______

List at least one significant contribution that illustrates the nominee’s merit for recognition.

Signature: ______

Date: ______

Please Return Nomination Form to

Teresa Funk

(Preferred)

Fax: 614-292-4077

Nomination Deadline: October 20, 2015 @ 1:00 PM