Ag Report STUDENTS (FY19) (v.Oct18)

Name *

1. Chapter Number--NUMBER ONLY (If you do not know your number, enter name of school) *

2. FFA District *

3. Sex *

Male

Female

4. Grade in School *

5. Residence (Home) *

6. Parent(s)/Guardian(s) *

At least one of my Parents/Guardians FARMS

At least one of my Parents/Guardians works in an AGRICULTURE-RELATED career/job.

NONE of my Parents/Guardians work in an AGRICULTURE-RELATED career/job.

7. My race/ethnicity is ________. NOTE: this data is collected to identify cultural differences which may exist, and need to be recognized to improve delivery of Agricultural Education *

American Indian or Alaskan Native

Asian

Black African American

Hispanic or Latino of any race

Native Hawaiian or Other Pacific Islander

White

Two or more races

8. After graduating from high school, I plan to... *

Go directly to WORK in an AGRICULTURAL CAREER.

Go directly to WORK in a NON-AGRICULTURAL CAREER.

Enter into the Military

ATTEND a trade school (technical training that is NOT a 2-year or 4-year college)

ATTEND a 2-year college in an Agricultural Major.

ATTEND a 2-year college in a NON-Agricultural Major.

ATTEND a 4-year college in an Agricultural Major.

ATTEND a 4-year college in a NON-Agricultural Major

9. Career Pathway of GREATEST INTEREST to me. *

Agribusiness Systems (marketing, finance, sales, etc.)

Plant Systems (agronomy, horticulture, landscaping, golf course mgmt, etc.)

Animal Systems (animal production, feed sales, veterinarian, etc.)

Power, Structural, Technical Systems (mechanics, construction, GPS, Precision Ag, etc.)

Natural Resources Systems (parks, forests, etc.)

Environmental Systems (water mgmt, waste mgmt, etc.)

Food Products and Processing Systems (food science, etc.)

Biotechnology Systems

NOT interested in a Career in Agriculture, Food and Natural Resources

10. I may be interested in being an Ag teacher and FFA Advisor. *

Yes

Yes, especially if I could complete part of the degree at a community college

No

11. Current FFA Member *

Yes

No

12. I am (or have been) a FFA CHAPTER OFFICER. *

Yes

No

13. FFA Leadership CDEs - During all of my years as an FFA member, I have participated in at least ONE of the following (at ANY level): Conduct of Meetings, Parliamentary Procedure, Job Interview, Creed Speaking, Public Speaking, Extemporaneous Speaking, Ag Broadcasting, Ag CSI, Ag Impact, Ag Issues and Perceptions, Ag Sales (Individual), Chapter Activity Exhibit, Chapter Program, Chapter Website, Reporter's Scrapbook, Secretary's Book, or Treasurer's Book. *

Yes

No

14. FFA Ag Skills CDEs - During all my years as an FFA member, I have participated in at least ONE of the following (at ANY level): Ag Biotechnology, Ag Communications, Ag Mechanics, Ag Sales (team), Agronomy, Dairy Cattle, Environmental and Natural Resources, Farm Business Management, Floriculture, Food Science, Forestry, Horse, Livestock, Marketing Plan, Meats, Milk Quality and Products, Nursery/Landscape, Poultry, Soils Evaluation. *

Yes

No

15. My SAE or real-world learning experience(s) were Evaluated (or Graded) by my Ag Teacher (or other SAE Supervisor). *

Yes

No

16. FOUNDATIONAL SAE: On a scale of 1 = poor to 5 = excellent, please rate how your SAE provides you with the following: *

1 (Poor)

2 (Fair)

3 (Average)

4 (Good)

5 (Excellent)

Career exploration and planning

Employability skills for management and planning

Personal financial management and planning

Workplace safety

Agricultural literacy

17. PLACEMENT/INTERNSHIP SAE: TOTAL WAGES from SAE project(s) in this area Jan. 1 - Dec. 31, 2018 -- Do NOT subtract payroll withholdings, i.e., state/federal/FICA. NOTE: School-Based Enterprises and Service Learning experiences of this nature are asked later, do not include here! *

18. PLACEMENT/INTERNSHIP SAE: Paid hours from SAE project(s) in this area Jan. 1 - Dec. 31, 2018. Business "Owners" do NOT accrue PAID Hrs. Business "Owners" should choose option NA. NOTE: School-Based Enterprises and Service Learning Experiences of this nature asked later, do not include here! *

19. PLACEMENT/INTERNSHIP SAE: UNPAID HOURS from SAE project(s) in this area Jan. 1 - Dec. 31, 2018. Business "Owners" do NOT accrue PAID Hrs. Business "Owners" should choose option NA. NOTE: School-Based Experiences and Service Learning Experiences of this nature asked later, do not include here! *

20. OWNERSHIP/ENTREPRENEURSHIP SAE: NET INCOME from SAE project(s) in this area Jan. 1 - Dec. 31, 2018 -- NET INCOME = Total Income minus Total Expense. NOTE: School-Based Experiences and Service Learning Experiences of this nature asked later, do not include here! *

21. RESEARCH--EXPERIMENTAL, ANALYSIS OR INVENTION: I have conducted _____ AGRISCIENCE RESEARCH project(s) from Jan. 1 - Dec 31, 2018. *

0: NA, Not applicable to my Ag Ed Experience

1

2

3

4

More than 4

22. SCHOOL-BASED ENTERPRISE SAE: PAID HOURS from SAE project(s) in this area Jan. 1 - Dec. 31, 2018. School-Based Ownership/Entrepreneurship projects do NOT accrue PAID Hrs--should choose option NA. *

23. SCHOOL-BASED ENTREPRENEURSHIP SAE: UNPAID HOURS from SAE project(s) in this area Jan. 1 - Dec. 31, 2018. School-Based Ownership/Entrepreneurship projects do NOT accrue UNPAID Hrs--should choose option NA. *

24. SCHOOL-BASED ENTERPRISE SAE: GROSS EARNINGS from SAE project(s) in this area Jan. 1 - Dec. 31, 2018 -- Do NOT subtract expenses, payroll withholdings, i.e., state/federal/FICA. *

25. SERVICE LEARNING SAE: I have conducted _____ SAE project(s) in this area from Jan. 1 - Dec 31, 2018. *

0: NA, Not applicable to my Ag Ed Experience

1

2

3

4

More than 4

26. SERVICE LEARNING SAE: TOTAL HOURS invested in all SAE project(s) in this area Jan. 1 - Dec. 31, 2018. *

27. SERVICE LEARNING SAE: Total estimated value to others of all efforts in this in this area Jan. 1 - Dec. 31, 2018. *