Nomination and picture must be submitted together and received by September 28, 2007, 5 p.m. Electronic submission is required. E-mail 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.

Listed below is the information to be included in the nomination for the Visionary Leadership Award. Be sure that all information is included. Nominations that exceed 1 page (front and back) will not be considered.

Remember nominations are not complete and will not be considered without the submission of a photograph of the individual.

General Description: This award is designed to recognize Extension professionals whose significant accomplishments have resulted in leading Extension forward in new directions. This person’s visionary leadership should have enabled Extension to anticipate a significant new opportunity and developed support to implement program/organizational changes necessary to achieve success.

Information about the Nominee

Full Name
Title
Current Address
Phone
E-mail Address
Educational background (Include schools, colleges, universities, dates attended, degrees.)

I. Career History (Reverse chronological listing of employment, titles, and dates; especially employment record with Extension.)

II. Professional Accomplishments (Achievements and honors that particularly relate to Extension.)

III. Program Accomplishments Demonstrating Visionary Leadership(How this person’s visionary leadership has enabled Extension to anticipate a significant new opportunity and to develop program/organizational changes necessary to achieve success.)

IV. Epsilon Sigma Phi Involvement (summary of involvement)

V. Summary Statement of Support (Concise, well-written, easy-to-read narrative summary statement of 50-75 words)

Information about the Nominator
Name
County or Department

Date

Xi Chapter ESP