2020 National FFA Convention State Winner Registration Assistance Request

2020 National FFA Convention State Winner Registration Assistance Request
Instructions

By filling out this form, you are requesting State Winner Registration Assistance for students who are eligible. Payment for registration will be based on the number of state winners per chapter and the tiered registration pricing set by National FFA. American Degree recipients qualify as a state winner. If your chapter has 1-29 state winners your chapter will receive $50.00. If you have more than 29 state winners your chapter will receive $100.00 and so on. DUE NOVEMBER 2, 2020 BY 11:59 PM.
Chapter Requesting Funds *
School District (Only required if your funds are being sent to the District)
School or District Office Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Qualifying Students: Type student name in first column and select their qualifying event in second column. To add more students, click + button. *
# of State Winners Tier Total Cost
0-29 1 $50
30-47 2 $100
48-72 3 $150
73-126 4 $200
127-499 5 $250
500+ 6 $300
Amount Owed to Chapter
Upload Registration Confirmation/Receipt *

Cancel of
Advisor Signature: *

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Instructions