American Forage and Grassland Council

Medallion Nomination - 2024

AFGC 2024 Medallion Nomination Form
Deadline: November 15, 2023

Nominee's Name:

Nominee's State Council Affiliation:

Nominee's Title:

Nominee's Mailing Address:

Nominee's Telephone Number:

Nominee's Email Address:

Nominee's Academic History:

Nominee's Employment History :

Nominee's Prominent Honors, Awards, or Other Recognitions Received:

Please tell us why you feel this person is deserving of this award.:

Nominee's involvement in professional organizations and/or major activities. These do not need to be industry specific.:

Nominee's Publications and/or Presentations:

Nominee's Contributions to AFGC:

Please upload a bio for the Nominee in paragraph format. This will be used to recognize nominee.:
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Please upload a photograph of the Nominee.:
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Nominator's Name:

Nominator's Telephone Number:

Nominator's Email Address:

By entering my name below, I acknowledge that the content in this form is accurate to the best of my knowledge. :

Please Enter The Letters and/or The Numbers You See In The Above Box:

AFGC
PO Box 867, Berea, KY 40403
800-944-2342
tina@afgc.org
www.afgc.org