AgriPOWER Learning Institute XIV Application-Ohio Farm Bureau
In 2023, Ohio Farm Bureau Federation will select individuals to participate in AgriPOWER, a leadership and advocacy development program, which will consist of seven multi-day institutes (17 total days). Topics covered during institute programs will include public policy matters facing local communities, the state of Ohio, the nation, and the world. Additionally, specific sessions will help class members develop important skills necessary to become effective leaders and advocate for agriculture. Two of the institute sessions will be held out of state (one in Washington, D.C., and the other location will be decided at a later date) to help class members gain a valuable understanding of national and global issues. Date and locations of sessions are tentative and subject to change.
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County of Farm Bureau Membership
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Email
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example@example.com
Cell Phone Number
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Please enter a valid phone number.
Date of Birth
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-
Month
-
Day
Year
Date
Gender
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Employer Name
Employer Email
example@example.com
Describe your occupation
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Describe your connection to agriculture?
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Please list your community activities and achievements.
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Describe, in your own words, what a leader is and how are you a leader?
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Why do you want to participate in AgriPOWER and what will you bring to the AgriPOWER Class XIV?
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List one major issue facing agriculture and describe how you would attempt to resolve it.
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Please indicate how you will cover the program's tutition?
I am being sponsored by another organization; it has agreed to pay the tuition.
The tuition will be shared by myself and another organization/company.
I am applying for a full, $4,500 scholarship
Please list the sponsoring organization (name, amount, point of contact for invoicing with name and email).
Please explain additional sponsorship funds.
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Email of Reference #1
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example@example.com
Name of Reference #1
*
First Name
Last Name
Name of Reference #2
*
First Name
Last Name
Email of Reference #2
example@example.com
COMMITMENT TO PARTICIPATE: The AgriPOWER program will consist of seven institutes held November 2-3, December 7-8, 2023. February 21-22, March 15-16, June 20-23, August 9-10, September 10-12, 2024. Participants are expected to attend all institutes. To graduate, participants may have no more than one excused absence. Attendance at the first and last institutes is mandatory. Spouses may not participate in the same class. Must not be a full time college student. I understand the requirements of the AgriPOWER Institute. I am willing to pay a $400 refundable participation deposit in addition to AgriPOWER tuition fees. I hereby pledge to devote the time to complete the program, and participate and volunteer in leadership activities after the seminar year.
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