Kansas Farm Bureau YF&R Excellence in Agriculture Award

Kansas Farm Bureau YF&R Excellence in Agriculture Award
The data below and throughout the application applies to you and your spouse/spousal-equivalent, if married. Please indicate “Applicant 1” (A1) and “Applicant 2” (A2) when responding to question 6.
Name (A1)*

First NameLast Name
Phonetic Pronunciation (A1)*
Email (A1)*
example@example.com
Date of Birth (A1)*

MonthDayYear
Date
Education/Degree (A1)*
Short Courses/Specialized Study (A1)*
Name (A2)

First NameLast Name
Phonetic Pronunciation (A2)
Email (A2)
example@example.com
Date of Birth (A2)

MonthDayYear
Date
Education/Degree (A2)
Short Courses/Specialized Study (A2)
Note: Remember to write in first person narrative (i.e. I, me, we, etc.) for questions 1-5.
1. Personal Background
(family, education and personal interests) *Will not count towards overall points**
2. Agricultural Involvement
A. Please explain the applicant(s) occupation and personal involvement in agriculture/agribusiness*
3. Impact on Agriculture
Clearly describe the efforts the applicant(s) have taken to positively promote and impact the agriculture industry. Examples may include things such as hosting farm tours, legislative visits, writing a blog, etc.*
4. Issues Facing Agriculture
A. Agriculture faces important issues at the local and state levels. Explain two important issues that the industry needs to address in the next five years. Choose one issue for the local level and one issue for the state level. For example, an applicant might select ag literacy as a local issue and mental health as a state issue.*
5. Goals
What goals does the applicant(s) have for the next five years related to his/her career, Farm Bureau involvement and involvement with other organizations? What steps have been made to reach these goals? *
6. Leadership Experience (from age 18 to current)

Note: This applies to both applicants, if applying together. Please indicate A1 and A2 when applicable.
A. List Farm Bureau and other agriculture leadership roles, involvement opportunities, recognitions and/or awards received by the applicant(s), indicating service on committees, boards or as officers. Please include years of involvement. Example: A1 – Elected President of the County Farm Bureau Board of Directors (2018-2019)*
B. List other community and non-agricultural leadership roles, involvement opportunities, recognitions and/or awards received by the applicant(s), indicating service on committees, boards or as officers (i.e. civic/service clubs, church, school, volunteer leadership, etc.) Please include organization, description and years of involvement. Example: A1 – Local Elementary School, Served as Parent Teacher Association (PTA) President (2017-2019) *
7. Other
If you had any situations or circumstances that may affect your leadership experiences, please use this space to explain. If you don’t have any situations or circumstances, please leave blank.
Note: There are no points associated to this section and can be left blank.
I (we) hereby certify the information on this entry form and attached application to be accurate and true statements. KFB DOES NOT ACCEPT LIABILITY FOR APPLICATIONS SUBMITTED INCORRECTLY BY A PARTICIPANT. KFB reserves the right to use my (our) photos and/or any video footage for use in promoting Farm Bureau. I (we) have not derived a majority of my (our) income from an owned production agricultural enterprise in any of the past three years. By participating in the Event, I (we) warrant that I (we) fully and unconditionally agree to and accept the YF&R official contest rules and the decisions of the KFB YF&R Committee, which are final and binding.
Verify that you agree to the paragraph above*

I (we) agree
Should be Empty:

Kansas Farm Bureau YF&R Excellence in Agriculture Award

1. Personal Background

2. Agricultural Involvement

3. Impact on Agriculture

4. Issues Facing Agriculture

5. Goals

6. Leadership Experience (from age 18 to current)

7. Other