Leadership KFB Application

All applications must be submitted by Oct. 15, 2024.

You will receive a confirmation email with all of your answers. That email will also have an EDIT link at the top, so if you need to change your submission any time before the October 15th deadline, you may do so.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

County*

Farm Bureau membership #*

Primary contact phone*

Other phone

Email*

example@example.com

Please list any dietary restrictions

Education / Degree*

Current Employment*

Describe your connection to agriculture, including any specific duties and responsibilities. *

List organizations you have been a member of, including level of involvement and leadership role, awards, or honors, if applicable.

List one organization per row. Click the 'Add another organization' button to add as many rows as needed.

Organization Involvement*

Explain your current involvement with Farm Bureau. *

Why are you interested in participating in Leadership KFB? What personal qualities and experiences will you bring to the program? *

What are your expectations and learning goals for the program? *

Share your personal definition of leadership. *

Identify an issue your local community is facing and needs to be addressed. Explain why this issue needs your influence. *

List two personal references, including name, phone number and email address.

Reference 1*

Reference 2*

By checking this box, I have read the application and understand the qualifications to participate in Leadership KFB. I understand that if chosen, I am expected to attend all sessions, and that I may be removed from the program for failure to meet this expectation. I understand that if I am not selected for this year’s class, I am eligible to apply again for future classes. I understand that my $250 class fee is due by January 15, 2025.

Check this box if you agree to the terms above*

I Agree