Distinguished Service Award
Please Note: The Distinguished Service Award will not be awarded this year
Purpose:
To
recognize a member of Epsilon Sigma Phi who has contributed significantly
to Extension program
planning
and delivery.
NAME:________________________________
TITLE/POSITION:_______________________________
COUNTY/DEPARMENT:_____________________________________
NUMBER OF
YEARS EMPLOYED BY C.E.S.:____________
YEARS IN PRESENT
POSITION:_____________________
MEMBERSHIP
IN EPSILON SIGMA PHI: _____YES ____NO
Describe oustanding
achievements of this nominee (use back if necessary):
Name of person submitting this nomination_______________________________ Date___________
Please submit application by December 1st, 2008 to:
Mary Ellen Welch
Middlesex County Extension Center
1066 Saybrook Road, Box 70
Haddam, CT 06438-0070
860-345-5214
Email: mary.welch@uconn.edu