Official Nomination Form for the 2006 "Stampy"® Awards

 

Please note: you do not need to submit a nomination in every category.

 

Category #1:  Best Performance to Improve Food Stamps by a State Elected Official, Appointed Official, or Spouse.

 

Your Nominee's Name:

Your Nominee's office/position: 

 

A brief description of what your nominee has done to improve the Food Stamp Program:

 

 

Category #2:  Best Performance to Improve Food Stamps by a State Employee.

 

Your Nominee's Name:

The Name of the State Department or Agency Where Your Nominee Works: 

 

A brief description of what your nominee has done to improve the Food Stamp Program:

 

 

Category #3:  Best Performance to Improve Food Stamps by a County/Local Elected Official, Appointed Official, or Spouse.

 

Your Nominee's Name:

Your Nominee's Office/Position:

 

Your Nominee's County or jurisdiction:

 

A brief description of what your nominee has done to improve the Food Stamp Program:

 

 

Category #4:  Best Performance to Improve Food Stamps by a County Employee.

 

Your Nominee's Name:

The Name of the County and the Department or Agency Where Your Nominee Works: 

 

A brief description of what your nominee has done to improve the Food Stamp Program:

 

 

Category #5:  Best Performance to Improve Food Stamps by a Local Advocate or Community Service Provider

 

Your Nominee's Name:

Your Nominee's Local Organization:

 

Your Nominee's City and County:

 

A brief description of what your nominee has done to improve the Food Stamp Program:

 

 

May we contact you for more info on your nominees?  If so, please give us your email address: 

 

 

Look for your Official "Stampy" Ballot in October!

 

Thank you for your submission.  If you have questions about the 2006 "Stampy"® Awards, please contact george@cfpa.net