State FFA Officer Candidate Application
Due February 15th
Name
*
First Name
Last Name
Cell Phone Number
*
Please enter a valid phone number.
Candidate Email Address
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent/Guardian Name 1
*
First Name
Last Name
Parent/Guardian Name 1 Email Address
*
Parent/Guardian Name 2
First Name
Last Name
Parent/Guardian Name 2 Email Address
FFA Chapter Name
*
Chapter Advisor Name
*
First Name
Last Name
Chapter Advisor Email Address
*
example@example.com
Current Grade in School
*
Please Select
Senior
Grad 1
Grad 2
Date Graduated or will Graduate from High School
*
-
Month
-
Day
Year
Date
Years of Agricultural Education Completed
*
If you will be in college in the fall, where will you be attending?
*
Will you be living at home or on campus?
*
What are your plans for the next academic year? Include planned college course load, employment, other organizations, sports, etc.
*
CANDIDATE'S SUPERVISED AGRICULTURAL EXPERIENCE (SAE) PROGRAM
Tell us about your SAE(s). (If entrepreneurship, please describe size and scope. If placement, please record the number of hours, employer, and job responsibilities.)
*
List major skills, competencies, and knowledge gained through your SAE(s). How have these contributed to your success?
*
CANDIDATE'S MAJOR FFA LEADERSHIP ACTIVITIES
Office Held and Related FFA Activities (indicate year for each office or activity)
*
FFA Awards and Recognitions (indicate year for each award or recognition)
*
CANDIDATE'S MAJOR SCHOOL AND COMMUNITY ACTIVITIES (NON-FFA)
Non-FFA Activities (indicate year for each non-FFA activity) Includes sports, clubs, other youth organizations, etc.
*
Non-FFA Awards and Recognitions (indicate year for each non-FFA award or recognition)
*
OFFICER CANDIDATE STATEMENT
Upload a pdf document answering "Why I Want to Be A State FFA Officer". Statements are limited to one page, double-spaced, 12-point font.
*
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Please review your application carefully before submitting. All fields marked with an asterisk must be completed for the form to be accepted.
Upload a signed copy of the State Officer Ethics & Contract
*
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Candidate Signature
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