| *Name |
- Enter your name exactly as you want it to appear on the card.
- Include degrees, certifications, etc., as you want them to appear, using periods within the abbreviations as in the examples below.
- Examples:
- Mary Louise Jones, C.F.C.S.
- Roger Wakefield, Ph.D.
- Henry "Jim" Davis
|
| *Title |
AGENTS ONLY
Program Area:
Extension Agent, 4-H Youth Development
Extension Agent, Family and Consumer Sciences
Specialty Area:
Family Financial Management
Family and Human Development
Foods, Nutrition, and Health
Extension Agent, Agriculture and Natural Resources
Specialty Area:
Animal Science
Crop and Soil Sciences
Dairy Science
Environmental Sciences
Farm Business Management
Horticulture
Natural Resources
Tobacco
Equine
Are you the Unit Coordinator?
Yes
No
Are you a Senior Extension Agent?
Yes
No
ALL OTHERS
AREC Director
District Coordinator, FNP, EFNEP/FSNE
Department Head
District Director
District Program Leader
Extension Specialist
Indicate specialty:
4-H Center Director
4-H Center Program Director
Program Associate
Program Assistant, Family Nutrition Program
Program Assistant, Agriculture and Natural Resources
Program Assistant, Family and Consumer Sciences
Program Assistant, 4-H Youth Development
Program Assistant, Other
Indicate program or project area:
Research Associate
Other:
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