Ag Youth Leadership Summit

Ag Youth Leadership Summit

2024 Application
June 2-5, 2024 Southern Arkansas University

Magnolia, Arkansas
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Student Cell #*
Please enter a valid phone number.
Student Email (not a school email)*
example@example.com
School Name*
Date of Birth*
Age*
Gender*

FemaleMale
Parents/Guardian Name(s)*
Parent/Guardian Cell #*
Please enter a valid phone number.
Parent/Guardian Work #*
Please enter a valid phone number.
T-Shirt Size*

XSmallSmallMediumLargeXLarge2XLarge3XLarge
Special Accommodations, Allergies, etc.
College plans, including planned major*
In the following space, please list your extracurricular activities including offices held and any awards received. *
Suggestion: Type in a Word document and copy and paste into this area.
Future plans, including career plans*
Suggestion: Type in a Word document and copy and paste into this area.
Why do you want to attend AYLS and what do you expect to gain from this seminar?*
Suggestion: Type in a Word document and copy and paste into this area.
In 150 words or less, describe a leadership experience that is the most significant in your life. Include what you learned and how it will affect your future. *
Suggestion: Type in a Word document and copy and paste into this area.
Acceptance of this application for the selection process is based on respective county Farm Bureau board approval.
Should be Empty:

June 2-5, 2024 Southern Arkansas University