Team Excellence in Extension Award
Primary Point of Contact Information
Name of Team
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Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Title
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Land-grant University
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Optional Information
Full Name of Nominator
First Name
Last Name
Nominator's Job Title
Nominator's Email
example@example.com
Nominator's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Criteria
Brief Synopsis
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30 words or less
0/30
Justification of Need
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The formal process by which needs of the program were identified. How the team effort was established/structured to meet these needs
0/400
Past 3 Year's Activities
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Description of activities conducted within the past 3 years to meet the identified needs and evidence of excellence related to those activities. Activities may include, but are not limited to, development of webinars, learning circles, online programs and resources, and appropriate publication of scholarly work, including journal articles, electronic fact sheets, and newsletters. Evidence of excellence may include, but is not limited to, adoption of the team’s program or activities by counties/states/institutions beyond those of the nominated team’s members, development of sustained external funding, receipt of awards, recognition, and/or requests for regional/state/national addresses and speaking engagements.
0/400
Positive Impact
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Document high impact on intended audience in the interest of the public good, including assessment of the program indicated by economic, social, and/or environmental impact.
0/400
Innovation
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Describe team innovation regarding partnerships established, funding acquired, and educational program delivery.
0/400
Collaboration
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Evidence of how this team collaboration has led to success beyond what could be accomplished individually, including ability to integrate research and/or teaching colleagues in Extension programming. Evidence that the work is sustainable and will continue beyond the initial efforts.
0/400
Cultural sensitivity/diversity
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Described conveyance of cultural sensitivity and appreciation for diversity.
0/400
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Attachments
Letter(s) of Endorsement by an Extension Director(s) and/or 1890 Extension Administrator(s)
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By submitting online, the person nominating the team agrees to the following: The Team will submit an impact statement into www.landgrantimpacts.org which portrays the Cooperative Extension work explained in this nomination. The information in this nomination is factual.
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