Faculty/Staff

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GAMMA SIGMA DELTA
The Honor Society of Agriculture
Nomination Form for Faculty/Staff
Membership Qualifications (Article III, Section 1.C) three years at The University of Wyoming
and:
Outstanding or exceptional teachers, investigators or administrators, during which time
have been engaged in agriculture or in a related science.
Name:
First
Middle
Surname
Title:
Department:
Office Phone:
E-mail:
Home Address:
Home Phone:
Date of initial appointment at UW? (By-Laws state must have been at UW at least three years):
Indicate Degrees:
Degree and Major
Year
College/University
Statement of Support for Nomination (may use back of page):
Nominator
Department
Date
Revised 2/04
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