Honorary State Degree Nomination

Honorary State FFA Degree

To be presented at the New Mexico FFA State Convention
Name (Nominee)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*
Title/Occupation of Nominee*
Has received the Honorary Chapter FFA Degree (prerequisite for Honorary State FFA Degree)*

YesNo
Nominated By:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
List the major contributions the nominee has made to advance agriculture and the FFA in New Mexico

(Note: Support/Participation of State level FFA Activities is required)
State Level: 60 points*
District Level: 20 points*
Local Level: 20 points*
Brief statement by nominator of State Contribution*
Chapter President*

First NameLast Name
Chapter Advisor*

First NameLast Name
Should be Empty:

Honorary State FFA Degree