2023 Leadership Summit "Get To Know You" Form
DUE: Friday, March 3, 2023
Your Sponsoring Cooperative
Alfalfa
Arkansas Valley
Canadian Valley
Central
Choctaw
Cimarron
CKenergy
Cookson Hills
Cotton
East Central
Golden Spread
Harmon
Indian
KAMO
Kay
Kiamichi
Lake Region
Northeast OK
Northfork
Northwestern
OAEC
Oklahoma
Ozarks
People’s
Red River Valley
Rural
Southeastern
Southwest Rural
TCEC
Verdigris Valley
Western Farmers
Other
Participant Name
First Name
Last Name
Participant Winner Email
example@example.com
Your Cell Phone Number
-
Area Code
Phone Number
What high school do you attend?
What town do you live in?
Honors/Accomplishments
Have you received any honors/awards? List your top 5 below.
What is the accomplishment you’re most proud of and why?
Activities
What are some activities in school or community are you involved in?
What do you like about these activities?
Interesting Facts
What’s your ideal career/job?
What is the most courageous things you've ever done?
Describe yourself in 3 words
Feel free to provide your social media handles so we and other Leadership Summit participants can connect with you!
I give OAEC permission to share my social media handles with my fellow Leadership Summit participants.
I do NOT give OAEC permission to share my social media handles with my fellow Leadership Summit delegates
I give my sponsoring cooperative permission to share this information for news release and marketing purposes.
I DO NOT give my sponsoring cooperative permission to share this information for news release and marketing purposes.
Submit
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