2016 AFBF YF&R Conference Application

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Ohio Farm Bureau would like to select 10 YAP members to attend American Farm Bureau's YF&R Conference to enhance their knowledge of and experience with Farm Bureau. This is the application to complete to be considered as one of the 10 YAP members. Couples and individuals are welcome to apply for the 10 spots. If couples apply, please complete all A1 and A2 questions. Ohio Farm Bureau staff will review applications and select the 10 participants. However, even if you are not selected, any OFBF YAP member is welcome to attend the AFBF YF&R Conference at his or her own expense.

Date: Feb. 12-15, 2016
Location: Kansas City, MO
Registration Deadline to Ohio Farm Bureau: Nov. 23, 2015 via Google Forms
Click here for the promotional flyer:
https://drive.google.com/open?id=0B4oPjkPBs7oyM093VWJmRDJEZUpnT09YaWZxSlU5UFBvY3ZN

If you are selected as one of the 10 YAP members to attend, Ohio Farm Bureau would cover the following costs:
-Registration Fee-$210
-Flight or mileage reimbursement at the average cost of a flight ticket
-Overnight accommodations for up to four nights (Arriving on Friday, Feb. 12, departing Tuesday, Feb. 16)
-One group meal outside of conference meals
Attendee would cover:
-Meals not covered at conference
-Airport: parking and baggage fees

If you have any questions or concerns, please call Melinda Witten at 614-519-8761.

A1 First and Last Name *

Please list as it appears on your driver's license.

A2 First and Last Name

Please list as it appears on driver's license.

County *

Please list the county in which you are a Farm Bureau member.

Address *

Please list your mailing address.

A1 E-mail *

Please list your e-mail address.

A2 E-mail

Please list your e-mail address.

A1 Phone Number *

Please list the phone number where you can be reached.

A2 Phone Number

Please list the phone number where you can be reached.

A1 Date of Birth *

Please list DOB for flight booking purposes.

A2 Date of Birth

Please list DOB for flight booking purposes.

A1 County Farm Bureau Experiences *

Please list your current and past Farm Bureau experiences at the county level. Ex: County Board member, membership, etc.

A2 County Farm Bureau Experiences

Please list your current and past Farm Bureau experiences at the county level. Ex: County Board member, membership, etc.

A1 State Farm Bureau Experiences *

Please list your current and past experiences at the state level: Ex: Winter Conference, Contests, Washington, DC, etc

A2 State Farm Bureau Experiences

Please list your current and past experiences at the state level: Ex: Winter Conference, Contests, Washington, DC, etc

A1 Farm Bureau Essay *

Please outline in 3-5 sentences why would you like to get more involved in Farm Bureau.

A2 Farm Bureau Essay

Please outline in 3-5 sentences why would you like to get more involved in Farm Bureau.

A1 Future Leadership Goals *

Please outline in 3-5 sentences your future leadership goals within Farm Bureau and/or the ag industry.

A2 Future Leadership Goals

Please outline in 3-5 sentences your future leadership goals within Farm Bureau and/or the ag industry.

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