Stanley E. Reed Leadership Award Nomination Form Criteria: This award is designed to recognize outstanding leadership within Farm Bureau and the community by a young leader. This leader should be involved at all levels of their county Farm Bureau, as well as being recognized as a community leader. This form needs to be in the mail and postmarked no later than Nov. 18. Nomination: The person must be nominated by their county Farm Bureau. This award is for individuals between the ages of 36–45. Nominee must be actively serving as a county Farm Bureau board member. Nominee: __________________________________________________________________________________ Address: ___________________________________________________________________________________ Phone #: ___________________________________________________________________________________ Please tell us, in 300 words or less, why you feel this individual is deserving of this award. Please list accomplishments or the impact this person has had on their Farm Bureau, their community and the agriculture industry. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ County: _________________________________________________ Nominator’s Name: _________________________________________ ®
Officer’s Signature: _________________________________________