Agricultural Leaders of Tomorrow Application

Agricultural Leaders of Tomorrow Application

Personal Information
Date

Month Day Year
Name

First Name Last Name
Farm Bureau Membership Number
County
Address

Street Address

Street Address Line 2

City State

Postal / Zip Code
E-mail Address
Note: We will correspond primarily through email, please enter an address you check regularly.
Cell Phone Number

Area Code Phone Number
Home Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number

Education and Employment
Schools Attended (High School & Colleges: Name, Degree, Major/Minor)
High School and Colleges (Name, Degree, Major/Minor)
Other Educational Experiences (describe)
Employment History (list in chronological order with most current first: Company, Position, Date(s) Employed)
Company, Position, Date(s) Employed

Ag Background, Hobbies and Honors
Describe your farming or agribusiness operation or background along with your duties and responsibilities:
What hobbies or leisure time activities do you participate in?
List organizations/groups in which you are or have been a member and the leadership roles you have occupied in each (both ag-related and non ag-related). Indicate whether past or current.
What do you consider to be your noteworthy leadership accomplishments, awards, and/or honors?

ALOT Program Interest
Why do you wish to participate in an agricultural leadership development program and why do you feel that you should be one of the 25 participants chosen? (200 words or less)

0/200
2020 Program Dates:

January 21 - Decatur

January 28-29 - Champaign

February 4 - McLean CFB

February 11 - Champaign CFB

February 18-19 - Springfield

Febrary 25 - Decatur

March 3 - Decatur

March 10 - McLean CFB

March 18-19 - Bloomington IFB
I have reviewed the 2020 ALOT program dates and I will be able to attend them all. *

Yes No
Please explain each conflict:
I have read the ALOT material describing the qualifications to participate in the program. I understand that selection is limited to 25 participants and if I am not selected this year, I may reapply for future sessions. I also understand that the $700 fee is not due unless selected for the program.
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Education and Employment