FFA WASHINGTON LEADERSHIP CONFERENCE

JUNE – JULY 2018 – WASHINGTON, D.C.

The Maine FFA Association is offering in 2018, at least three scholarships, each in the amount of $900, to be awarded to outstanding FFA student applicants. To be eligible, each applicant must: be an FFA member; have completed at least one year in FFA; and have completed the following application. Applicants should have reviewed available information published by the National FFA Organization regarding the Washington Leadership Conference to be sure that they wish to participate in this experience and that they will be available during at least one of the dates listed. Applicants should realize that scholarship does not cover travel costs to and from Conference.

This application is due to the State Advisor by February 6, 2018. No applications received after that time will be accepted.

The application must be typed or printed, have all required signatures, and be accompanied by two letters of recommendation---one from an Officer in the applicant’s FFA Chapter, and one from either a Teacher or Administrator at the applicant’s school.

In order to receive scholarship funds, successful applicants will also be required to complete and submit all paperwork required by the National FFA to attend W.L.C., sending a copy to the State Advisor. For additional information, please see FFA website: / Participate / Conferences / WLC

1. Name of Applicant: ______

Preferred First Name: ______

2. FFA Chapter: ______

3. Email Address: ______Phone:______Cell Phone: ______

4. Mailing Address: ______

5. Date became FFA member: ______

6. How did you hear about WLC? ______

7. Why do you want to participate in the Washington Leadership Conference?

(for this question and Question #5 please attach additional pages if needed)

8. How does FFA affect you, and how do you think FFA should link to your education?

IN CASE OF ACCEPTANCE, PLEASE INDICATE PREFERRED WEEK TO ATTEND AND PLEASE COMPLETE THE FOLLOWING PRE-REGISTRATION INFORMATION:

__June 5-10, 2018; __June 12-17; __June 19-24; __June 26-July 1; __July 10-15; __July 17-22; __July 24-29

Polo Size: ______

Any Special Accommodations Needed: ______

Any Special Dietary Needs: ______

Parent / Guardian Name: ______

Parent / Guardian Email: ______

Parent / Guardian Phone: ______

Parent / Guardian Additional Phone: ______

Secondary Contact Name: ______

Secondary Contact Phone: ______

Secondary Contact Additional Phone: ______

PLEASE SEE FOLLOWING PAGE FOR REQUIRED SIGNATURES FROM APPLICANT, PARENT / GUARDIAN, AND FFA CHAPTER ADVISOR!

Required Signatures

Applicant:

I, the applicant for this scholarship, do confirm my eligibility under the previously listed requirements, and certify that I have completed this application and that its content represents my own views. I also understand that, if chosen, I will need to fill out the additional registration paperwork required by the National FFA:

______

SIGNATURE OF APPLICATONDATE

Parent/Guardian:

I, the legal guardian of the applicant, do confirm my approval for him/her to attend the 2016 Washington Leadership Conference organized by the National FFA Organization, and also confirm my understanding of the arrangements for the conference and the financing by myself or the applicant of all conference costs (including participant travel) not covered by the scholarship, should the applicant receive this award:

______

SIGNATURE OF LEGAL GUARDIANDATE

FFA Chapter Advisor:

NOTE TO ADVISOR: Registrations for accepted students must be completely processed as early as possible in February to have likely chance to obtaining desired time slot!

I, the FFA Chapter advisor of the applicant, do certify his/her good standing in our chapter and my opinion that he/she would abide by all rules of behavior at the conference and benefit from attending:

______

SIGNATURE OF CHAPTER ADVISORDATE

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