Nomination and team photograph must be submitted together and received by September 15, 2006, 5 p.m. Electronic submission is required. E-mail the completed nomination to Stan Dixon, Chairman of Awards and Recognition Committee, at stan_dixon@ncsu.edu. (Exception: Nominations and print photographs submitted by retirees may be sent by mail but must reach chair by stated deadline. Mail to:Stan Dixon, Greene County Cooperative Extension Center, 229 Kingold Blvd Snow Hill, NC 28580.)

Nominations more than 1 (one) page (back and front) will NOT be reviewed. Award nominations will only be accepted in straight text, Microsoft Word or StarOffice writer format. No HTML or PDF formats will be accepted. Margins must be 1-inch and information presented must be of 10-point type.

INFORMATION ABOUT THE TEAM'S PROGRAM

1. Program Title

II. Names and Staff Titles of Team Members

III. Narrative Summary (200 words or less). The statement should clearly explain the role that the team’s program has played in preparing people and/or communities to deal with critical issues which should address social, economic and/or environmental concerns. Kinds of information to incorporate into statement:

• National Initiative(s) Addressed:
• Resources Involved (team members, volunteers, agencies/cooperators and funds, supplies or equipment utilized).
• Methods Used (innovative or creative problem solving, educational or delivery methods, etc.)
• Results(who benefitted, what were the impacts, how did lives or communities change, what are the implications for future programs, etc.)

INFORMATION ABOUT THE TEAM PHOTOGRAPH
List team members and their titles as they appear from left to right in the photograph. Nominations submitted without photographs will not be considered.

INFORMATION ABOUT THE NOMINATOR
Name
County or Department

Date

Xi Chapter ESP