Honorary State FFA Degree- Official Nomination Form
**THIS APPLICATION IS FOR INDIVIDUALS OTHER THAN AGRICULTURE EDUCATION TEACHERS**

This Honorary Degree Program is operated under the policies and procedures approved by the Illinois Association FFA Board of Directors and State Officers. Honorary Degrees are provided for in the Illinois FFA Constitution. The Honorary State FFA Degree is the highest Honorary Degree that can be presented by the Illinois Association FFA at the annual Illinois FFA Convention.

PURPOSE:
The purpose of the degree program is to recognize individuals who have rendered outstanding service to agricultural education and FFA programs.

CRITERIA OF NOMINATION:
Individuals nominated must have provided exceptional (outstanding) service to agriculture and/or the agricultural education/FFA program. Nominations may also be made by members of both the Illinois Association FFA Board of Directors and Officers, and the State Staff.

DEADLINE:
All nominations should be submitted in this nomination form by April 1.

Nominee Information
Name of Nominee: *
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Title or occupation of Nominee: *
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Nominee Address Line 1: *
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Nominee Address Line 2:
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Nominee City: *
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Nominee State: *
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Nominee Zip Code: *
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Nominee Phone Number: *
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Is the Nominee retired or soon to retire? *
Explain:
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Nominator Information
Nominated By: *
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Your Title: *
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Your Address Line 1: *
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Your Address Line 2:
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Your City: *
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Your State: *
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Your Zip Code: *
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Your Email: *
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Your Phone Number: *
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