NCAE4-HA DALTON R. PROCTOR ACHIEVEMENT IN EXCELLENCE
OBJECTIVE: To recognize current NCAE4-HA members
with 15 or more
years of experiences and accomplishments in the 4-H
profession.
AWARD: Plaque and monetary award (Either pre-tax or reimbursable
expenses)
Eligibility requirements:
- Fifteen or more years as of December 1st in youth
development;
- Member of NCAE4-HA;
- Past recipient of DSA;
- County or area extension 4-H agents candidates.
Specific Criteria:
- Professional Contributions to NCAE4-H and affiliates
(National, District, Family and Consumer Science, Agriculture
and/or
Specialist Association).
- Program Accomplishments:
Summarize outstanding career accomplishments and clearly
show role in these areas.
- Personal Community Accomplishments:
Describe important leadership and citizenship
contribution as it relates to involvement in: community,
civic, service organizations and other important volunteer
roles.
Application should include:
*Attached Member Recognition Form;
*No more than 3 pages of narrative addressing the specific
criteria above
(professional,
program, and community accomplishments).
MEMBER RECOGNITION FORM
NCAE4-HA
DALTON R. PROCTOR ACHIEVEMENT IN EXCELLENCE
Requirements for Acceptance:
1. Confine Narrative to three pages.
2. No supporting evidence, including letters of
support or reference, are to be attached
to this application.
3. Use standard type; do not reduce.
Date:___________________________
Name:___________________________
SSN:____________________________
Title:__________________________
County:__________________________
or State Staff Area of Responsibility:___________
Time of Service (as of Dec. 1, this year): Years_____Months_____
Date of Hire as a 4-H Agent: ________________________
Date of First Appointment:___________________________
Number of years as a NCAE4HA member:_____________________
Degrees:BS___BA___MA___MS___Other____Yr. Completed___________
1. Professional Experience: 4-H or Extension Experience
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