2017 Hall of Fame nomination form - Colorado FFA Foundation



NEW FORM—UPDATED MAY 20185918913595151751965167005NOMINATION FORM FOR MEMBERSHIP IN THE COLORADO AGRICULTURE HALL OF FAME00NOMINATION FORM FOR MEMBERSHIP IN THE COLORADO AGRICULTURE HALL OF FAMENominations for the Colorado Agriculture Hall of Fame must be emailed or mailed on or before September 30, 2019 toDon Thorn, Executive DirectorP.O. Box 1000 Greeley, CO 80632719-829-4483dthorn@192151025590500137287062166500Name of Nominee: Address:201295022923500City, State and Zip:Nominee’s Birthday 192151025590500Nominee’s Phone/E-mail:Occupation: Business Address: Business Phone/E-mail:1738630213995002470150-10604500Spouse’s Name:Other Family Members:228727021209000228727019621500155575022606000164719059182000Your name: Your Address:Your Home Phone/Business Phone/E-mail: 82423022225000Please contact Don Thorn to let him know you are submitting a nomination so he can confirm receipt of the application.Please assemble the following information and submit in the requested order. This can be submitted as a packet or preferred digitally as one pdf file.Page limitations are to help you the nominator develop concise information.A completed Nomination Form about the nominator and nominee. It is acceptable to recreate this form in Word as long as we get all of the same information.A photo of the candidate—this will be used for immediate publicity when the candidate is selected. (We will ask the candidate to sit for a formal photo with a photographer after being selected.)A cover letter with your comments on why you, the nominator, support this nominationThe candidate’s biographical information-not to exceed one page.(After selected, the candidate will be asked to submit a much more detailed biography.)A list of candidate’s’ awards, honors, and publications—not to exceed one pageLetters of support (5-7 letters) to show the candidates exceptional agricultural impact. Letters can be from businesses or community organizations, friends and family.Photocopies of photos, news clippings, magazine articles or online publications, highlighting the candidate’s accomplishments and involvement—please only submit up to 5 pages for this section. Please do not submit any originals or pieces that make duplication difficult.Review the enclosed scoring rubric and submit one to two paragraphs that address or provide evidence of each of the evaluation categories (Commitment and involvement in agriculture community, innovation, performed above and beyond job description, impact on their sector, evidence of mentorship & passing of knowledge, and overcoming adversity, if any). This should not exceed 4 pages.**Please submit all of the above requested information as a packet (held with one binder clip) or digitally as one pdf file—this is preferred if possible.The successful candidates will receive the original submission packet as a keepsake.Hall of Fame Application Review RubricApplicantMax Points AvailableEvaluation Categories15Commitment & Involvement in Agriculture CommunityActive involvement in multiple sectors of agriculture communityActive involvement in single sector and passive involvement in multiple other sectorsActive involvement in one sector and passive involvement in additional sectorActive involvement in single sector of agriculture community151010715InnovationCreated change to practices across the industryCreated change to practiceswithin their industry sector at regional level or aboveCreated change to practices at local levelAdapted individual practices to industry change15107520Performed Above and Beyond Job DescriptionDelivered significantly more than was expected for their position or jobDelivered more than what position or job expectedDelivered slightly more than what position or job expectedMet the expectations of their position or job201510520Impact on Their SectorEfforts had global impactEfforts had national impactEfforts had state impactEfforts had regional & local impact201510520Evidence of Mentorship & Passing of KnowledgeActively engaged & mentored younger generationsPassive engagement with younger generationsEngagement with only their peers2015105Overcoming AdversityAchieved in spite of adversityAdversity limited achievementNo adversity present5315Complete ApplicationAll components of application presentMissing one component of applicationMissing two components of applicationMissing more than two components of application5420 ................
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