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Online Nomination Form

The Eric Bradford & Charlie Rominger Agricultural Sustainability Leadership Award Nomination Form

Nominee

Name of nominee (Required)

Title

Employer

Email address (Required)

Phone number (Required)

Nominee's affiliation with UC Davis (Required)

Check all that are applicable.

Cooperative Extension Advisor

Cooperative Extension Specialist

Graduate Student

Faculty Member

Alumnus

Nominator

Name of nominator (Required)

Title

Employer

Email address (Required)

Phone number (Required)

Letter of nomination (Required)

Please attach a letter of nomination describing how the nominee meets the criteria for the Award.

Are you a human? (Required)

Just making sure!