Georgia FFA Alumni Outstanding Agriculture Instructor Award Application
Georgia Applications are due, postmarked, March 15.
Mail to GA FFA Alumni, Stan Mitchell, 201 Four Towers, Athens, GA 30602
Nominee must be an active FFA Alumni member in the nominating FFA Alumni Affiliate.
The nominating FFA Alumni Affiliate must be an active affiliate with the Georgia FFA Alumni Association.
Name of Nominee:
Address:
City, State, Zip:
Phone:
School District:
Fax:
Alumni Affiliate:
How long has the nominee been teaching in the current position? _____________________
How long has the nominee been teaching Agriculture Education?______________________
How long has the nominee been a member of the Georgia FFA Alumni? _______________
PLEASE BE AS SPECIFIC AS POSSIBLE IN ANSWERING THE FOLLOWING. ADD NO MORE THAN
ONE ADDITIONAL PAGE OF SUPPORTING DOCUMENTATION, IF DESIRED.
In what way has the nominee demonstrated “outstanding service” to agricultural education, FFA and the
FFA Alumni through their support and collaboration with the FFA Alumni? (Service denotes
contributions of time, expertise, talent, money, facilities, equipment or sacrifices made beyond the
expectations of the job.)
Local (50 points):
Georgia FFA Alumni Outstanding Agriculture Instructor Award Application
State (25 points):
Page 2
National (25 points):
Local FFA Alumni Officer:
(Printed Name)
(Signature)
Title:
Date:
Address:
Telephone: