2025 SEDI Nomination Form You must have JavaScript enabled to use this form. Nominee Information Full Name First Name Last Name Position Title Agency/Organization Years with Organization Brief Description of Your Current Duties Phone Number (Nominee) Work Email (Nominee) Date of Birth Gender Shirt Selection Please Select a Golf Shirt Size (Ladies Cut Available) - Shirt Size - XS S M L XL XXL 3XL 4XL Ladies Cut? Billing Information Billing Contact (If Accepted) Billing Email (If Accepted) Questions How will this experience benefit you and your organization? What is the state’s most important issue to becoming a more functional organization? Resume Agreement I agree, that upon completion of this form, to send an email of my current resume in PDF form to the following address: far44@msstate.edu Additionally, please contact your IT administrator to “white list” the following email addresses so you can receive bulk emails with timely information. far44@msstate.edu leeann@sig.msstate.edu Leave this field blank
