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Mary Long Beasley Distinguished Service Award Application
SNA-NC 2024-2025 Mary Long Beasley Award
Deadline April 30, 2025
Submit up to three (3) letters of support under "Document Upload"
Nominee/Applicant's Name:
Mailing Address:
State:
Zip Code:
City
Phone Number:
Email Address:
Current Position:
Cafeteria Assistant
Supervisor
Director
SN Office Staff
Other
Cafeteria Manager
School/School District Name:
School Nutrition Work Experience (Please list the employer, years of employment,and position(s) held)
Professional Association Involvement:
Years in SNA-NC:
Are you SNA Certified?
Please Select...
Yes
No
Are you SNA Credentialed?
Please Select...
Yes
No
Why does this person deserve to be honored for distinguished service?
Document(s) Upload *File name cannot contain spaces or periods
Name of Person Completing this Form:
Nominator's Email:
Nominator's Phone Number:
Your Name:
Your Email:
To validate your submission, please answer the following math problem: