FFA Member Leadership Series Registration 2024-2025

2024-2025

National FFA Member Leadership Series Registration

Before completing this registration, please read the 2024-2025 FFA Member Leadership Series Conference Planning Guide.

State Association or Chapter Name: *

Who is hosting this conference?

FFA Association or Chapter Number:*

This is where we will send the invoice to.

Who is hosting this conference?*

If being hosted by a local/regional entity, please answer based on the following statement: "I have or plan to communicate with state staff about our event"

YesNo

Chapter/District/Region/Etc. Name

i.e. Davis County FFA Chapter, Indiana FFA Camp, District II FFA, etc.

Conference Contact Person *

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

Conference Selection & Delivery Style

Connect Conference: Curriculum is designed for 7th-10th grade students
I Am Conference: Curriculum is designed for 11th and 12th grade students

Conference Type

Connect (7th-10th) - Traditional DeliveryConnect (7th-10th) Conference - Curriculum & Train-the-TrainerConnect (7th-10th) Conference - Curriculum OnlyI Am (11th-12th) Conference - Traditional DeliveryI Am (11th-12th) Conference - Curriculum & Train-the-TrainerI Am (11th-12th) Conference - Curriculum OnlyMiddle School Pilot Program

Please provide the two tentative training dates*

How many people will be attending the training? *

Where will the training be held? *

Conference Location *

Hotel, Conference Center, School, Etc.

Conference Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Conference Start Date*

Date

Conference Start Time *

:HourMinutesAM/PM Option

Conference End Date*

Date

Conference End Time *

:HourMinutesAM/PM Option

What is the closest airport to the conference site? *