Nomination Form

Online Nomination Form - Farm Woman of the Year

This form can be submitted to nominate a Pioneer or Modern Farm Woman of the Year. Each nomination will be kept and considered for a period of three years.

Type of Nomination*
- Pioneer Farm Woman
- Modern Farm Woman
Nominee's Name*
First Last
Address / PO Box*
Address Community Postal Code
Home Phone*
Nominator's Name*
First Last
Address / PO Box*
Address Community Postal Code
Contact Number*
Please give us the number you can be reached during business hours.
BIOGRAPHY*
Outline the history of the nominee’s career, farm background, and the work or activities completed by the nominee.
INVOLVEMENT IN THE FAMILY FARM*
State the nominee’s activities and contributions to the family farm. Bullet form only please.
CONTRIBUTION TO COMMUNITY*
State the nominee’s contributions to society. Include past and present contributions to the community such as volunteer activities, organization involvement, and role modeling. Bullet form only please.
PERSONAL EFFORTS MADE*
State the dedication, perseverance and any difficulties overcome which would make the nominee worthy of this award. Bullet form only please.
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Nomination Form

Online Nomination Form - Farm Woman of the Year

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