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