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    Dfa Ag Hall Nomination Form 2

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    api-239074818
    The document provides nomination information for the Dundas Agricultural Hall of Fame. It includes fields for the nominator's name, address, phone and email, as well as fields for the nominee's name, address and criteria to consider for the nomination, including the nominee's contribution to the agricultural community within and outside of Dundas County, personal and professional development, contribution to the community beyond agriculture, and length of service to the agricultural community. It also includes spaces for the nominator and nominee signatures and provides the submission deadline of March 15, 2023. Nominations should be mailed to Jackie Kelly-Pemberton, Chair of the Dundas Federation of Agriculture Hall of Fame Committee.

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    Dfa Ag Hall Nomination Form 2

    Uploaded by

    api-239074818
    103 views2 pages
    The document provides nomination information for the Dundas Agricultural Hall of Fame. It includes fields for the nominator's name, address, phone and email, as well as fields for the nominee's name, address and criteria to consider for the nomination, including the nominee's contribution to the agricultural community within and outside of Dundas County, personal and professional development, contribution to the community beyond agriculture, and length of service to the agricultural community. It also includes spaces for the nominator and nominee signatures and provides the submission deadline of March 15, 2023. Nominations should be mailed to Jackie Kelly-Pemberton, Chair of the Dundas Federation of Agriculture Hall of Fame Committee.

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    dfa ag hall nomination form 2

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    The document provides nomination information for the Dundas Agricultural Hall of Fame. It includes fields for the nominator's name, address, phone and email, as well as fields for the nominee's name, address and criteria to consider for the nomination, including the nominee's contribution to the agricultural community within and outside of Dundas County, personal and professional development, contribution to the community beyond agriculture, and length of service to the agricultural community. It also includes spaces for the nominator and nominee signatures and provides the submission deadline of March 15, 2023. Nominations should be mailed to Jackie Kelly-Pemberton, Chair of the Dundas Federation of Agriculture Hall of Fame Committee.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    103 views2 pages

    Dfa Ag Hall Nomination Form 2

    Uploaded by

    api-239074818
    The document provides nomination information for the Dundas Agricultural Hall of Fame. It includes fields for the nominator's name, address, phone and email, as well as fields for the nominee's name, address and criteria to consider for the nomination, including the nominee's contribution to the agricultural community within and outside of Dundas County, personal and professional development, contribution to the community beyond agriculture, and length of service to the agricultural community. It also includes spaces for the nominator and nominee signatures and provides the submission deadline of March 15, 2023. Nominations should be mailed to Jackie Kelly-Pemberton, Chair of the Dundas Federation of Agriculture Hall of Fame Committee.

    Copyright:

    © All Rights Reserved
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    of 2

    Jacqueline Kelly-Pemberton, Ag Hall of Fame

    committee-Chair
    2624 Pemberton Road, Inkerman, ON K0E 1J0
    (613) 774-5914
    Email: pemberton.jacqueline@gmail.com

    Dundas Federation of Agriculture


    dundasagriculture.com

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    Nominator Information:

    Name/Organization of Nominator: ______________________________________________

    Street/City/Postal Code:______________________________________________________

    Telephone/Email:___________________________________________________________

    Nominee Information:

    Name: ___________________________________________________________________

    Street/City/Postal Code:______________________________________________________

    Each application should consider 2 letters of support

    Consider the following criteria when submitting a nomination. You may use
    photographs, historical papers and articles to support your nomination

    Contribution to Agricultural Community (Within Dundas County):

    Contribution to Agricultural Community (Outside Dundas County):

    Personal Development:

    Professional and or Business Development

    Contribution to Community beyond agriculture:

    Length of service to Agriculture Community

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    __________________________ ___________________________
    Signature of Nominator Print Name

    I ____________________________________hereby consent to this nomination, into the


    (Name of nominee or family representative) Dundas Agricultural Hall of Fame.

    All applications must be legible for consideration.

    Deadline: March 15th 2023

    Mail to:

    DFA –Ag Hall of Fame Nomination


    C/O
    Jackie Kelly-Pemberton
    2824 Pemberton Rd
    Inkerman, Ontario
    K0E 1J0
    613-720-4756

    Page 2

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