2024-2025 Virginia FFA State Officer Visit Request Form

2024-2025 Virginia FFA State Officer Visit Request Form
Chapter Information
Chapter/School Name or Group Name (example: Blue Ridge Area)*
Lead Contact/Advisor Name*

First NameLast Name
Email*
example@example.com
Phone (please make sure this phone is accessible on the day of the visit)*
Please enter a valid phone number.
Visit Information
Date Requested:*

MonthDayYear
Date
If you need a second day or have other special requests about the date, please let us know here:
Time (please understand that start times may need to be updated to accommodate state officer travel time):*
Location of visit:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Check-in instructions:*
Choose one or more workshops that will be utilized during the visit:

FFA 101Open Ears, Open MindsIntentional LeadershipOther (describe below)
Please briefly describe the objective/goals for this visit:
Please describe any special instructions here:
Officer attire:*

Official DressPolos and KhakisNo Preference
Requested officers (officers are often sent to visits based on scheduling and their geographic location):

Grayson Long, State PresidentBlair Rutherford, State SecretaryKeller Cooley, State Vice PresidentAllison Rhodes, State Vice PresidentJackie Diaz, State ReporterBraelyn Durbin, State TreasurerRyan Livesay, State Sentinel
Should be Empty:

Chapter Information