Ag Academy Application

Application for Participation in the Kansas Farm Bureau Ag Academy
Full Name

First NameLast Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary contact number
Format: (000) 000-0000.
If selected for the program how would you like your name to appear on name tag, program certificates, etc.?
Which best describes your agricultural background?
Tell us about yourself. Describe your work, interests and activities.

0/300
Why are you interested in participating in Ag Academy and what do you hope to gain from the experience?

0/500
What experiences, perspectives, interests or background would you bring to the program?

0/500
The 2026-2027 Ag Academy program dates and locations are as follows,
- Capsule 1 - 11/5 Manhattan area
- Capsule 2 – 1/26 Topeka area
- Capsule 3 – 4/15 Western Kansas
- Capsule 4 – 6/17 Moundridge area
- Capsule 5 – 8/25 Lawrence/Kansas City area
- Capsule 6 – 9/16 Salina area
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Check to verify that you have completed the form and you are ready to submit:
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Application for Participation in the Kansas Farm Bureau Ag Academy