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AgOvation Registration
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1
Image Field
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2
County
*
This field is required.
e.g. 11183021
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3
County Office Contact Full Name
*
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First Name
Middle Name
Last Name
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4
E-mail
*
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5
Team Name
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6
Name of Person Registering Team
First Name
Last Name
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7
Check all boxes that your team is interested in
In order to narrow your agricultural issue down, please select all areas that may interest you and your team
Land & Water Caretaking
Environmental Decision Making
Ethical Ag Responsibilities
Food Safety
Food Inspection & Quality
Energy Sources
Production Methods
Animal Welfare
Animal Safety
Animal Housing & Care
Food Cost
Nutrition
Food Processing
Heathy Living
New Ag Technology
Impacts of Technology
Biotechnology
Future Career Options
Impact on Economy & Trade
Hunger
Role on Global Economy
Ag Education
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8
Team Member 1
*
This field is required.
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9
Team Member 2
*
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10
Team Member 3
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11
Team Member 4
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12
Team Member 5
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13
Coach Name
*
This field is required.
First Name
Last Name
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14
Is Coach Currently Screened?
*
This field is required.
All coaches/mentors will need to be screened by participating county. If coach is not currently screened, please do so as soon as possible.
YES
NO
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15
Does team have currently have a mentor lined up for season?
*
This field is required.
YES
NO
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16
Is Mentor Currently Screened?
*
This field is required.
All coaches/mentors will need to be screened by participating county. If coach is not currently screened, please do so as soon as possible.
YES
NO
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17
Would you like state assistance lining up a mentor for this team?
*
This field is required.
YES
NO
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18
Are you interested in information for grant opportunities for AgOvation expenses?
YES
NO
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19
Tags
Todo
In Progress
Done
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