Download PDF Nomination Form
Deadline: March 27
Please email completed form to:
Dr. Christopher Watkins (Vice-President, ASHS Extension Division) at: firstname.lastname@example.org
Questions should be directed to Dr. Chris Watkins.
Rules for submission of entries:
Only one entry may be submitted in a given category by an individual author.
Materials submitted for an award must have been published within the previous two calendar years.
Please provide the following information:
Title of entry:
ASHS Member submitting entry:
Person(s) whose name(s) should appear on award certificates:
Check one (only one) category from the list below:
____ Book (>100 pages)
____ Bulletin (31-100 pages)
____ Fact sheet (9-30 pages)
____ Leaflet (1-8 pages)
____ Newsletter (must be published a minimum of 4 times/year for the year submitted. All issues must be submitted.)
____ Primarily visual (calendar, poster, etc.)
Non-print entries (If you submit a non-print entry and it wins, you will be asked to prepare a poster with highlights of the material for display at the annual conference.)
____ App ( ___ for I-phone, ___ for Android, ___ for both)
____ Blog (must have at least 12 entries for the year)
____ PowerPoint presentation
*Please submit .pdf of print entry or url web link if file size is too large to send by email.
Impact statement (up to 100 words in English):