Give the Gift of Blue

Give the Gift of Blue

FFA Jacket Request Application
The Utah FFA Foundation is pleased to provide jacket donations to deserving members and chapters. This application is to be completed by ADVISORS only. Please contact your local advisor if you are a member or know of a member that is in need of an FFA jacket.

This application will be on-going until the budgeted funds run out for the year.

If you are a current Utah FFA Advisor and would like to refer a student or your chapter for an FFA Jacket(s), please begin the application below.

Contact Information
Advisor Name*

First NameLast Name
Advisor Email*
example@example.com
Chapter Name*
Chapter Name
Chapter Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am applying for: (Check all that apply)*

Single Member Personalized JacketChapter Jacket Set (5 Jackets)

Individual Member Referral

Complete this section if you are referring a single member to receive a personalized FFA jacket:
Advisors are welcome to refer more that one member from their chapter. Please submit a separate referal for each member.
Please mark this box if the INDIVIDUAL member referral doesn't apply to you.

This section does not apply to my application submission.
Student Name: (This will appear on the jacket.)*

First NameLast Name
Chapter Name*
Please tell us about the student you're recommending and the involvement they have in the FFA:*
Please describe why this student has a need for an FFA jacket:*

Chapter Set Request

Complete this section ONLY if you are requesting a Chapter Set (5) of FFA Jackets. If it doesn't apply, please skip this section.
Please mark this box if the Chapter Set referral doesn't apply to you.

This section does not apply to my application submission.
Name

First NameLast Name
Which scenario best describes your chapter:*

My chapter does NOT have a set of jackets.My chapter has a set of jackets, but they need to be replaced due to wear and tear.My chapter has a set of jackets, but is in need of additional jackets.
Please describe your need for a Chapter Set of jackets in further detail: *
How would this set of jackets effect local membership and participation: *

Application Submission
For the assurance of guaranteed funding, I hereby acknowledge my commitment to promptly submit valid receipts for eligible expenses within a period of 30 calendar days for the purpose of seeking reimbursement. To signify your full acceptance of this obligation, I kindly request you to click the button provided below.
I accept this obligation to submit receipts within 30 days.
If awarded, please note that it will be the responsibility of the Advisor to complete the order through the National FFA website. Once a confirmation/receipt has been received, a copy will need to be sent to the Executive Director of the Utah FFA Foundation who will then mail you a check for the awarded amount.
Funding Needed By: *

MonthDayYear
Date
Advisor Signature:

Clear
Should be Empty:

Contact Information