Due March 1

Return to State FFA Office

Honorary State FFA Degree—Teacher Award

NOMINATION/APPLICATION FORM

1. Teacher’s Name:

Complete Home Address:

City: State: Zip:

Name of Chapter: Chapter Number:

Name of School:

Complete School Address:

City: State: Zip:

Telephone:

(work) (home)

2. Number of years teaching

3. In the past year, my ag ed program had at least 80 percent membership in the FFA. Yes No

4. Please describe one activity in each of the following areas that has contributed to the success of the local program (not to exceed to pages). Please do not attach additional pages or supporting materials.

a. Classroom/Laboratory Instruction in Agricultural Education

b. Experiential Learning of Students in Agricultural Education

c. National FFA Organization

d. Building Partnerships in Agricultural Education

e. Agricultural Education Program Marketing

f. Agricultural Education Program Development and Evaluation

g. Professional Development of Agricultural Education Teachers

Administrator Chapter President