Leadership Division Report Form
This form must be completed by March 2, 2020 before 9 p.m. in order to be awarded in the 2019-20 FFA Awards Program.

You will need to answer all information at one time. This form does not have the ability to save part of the form for you to complete later. All questions require a response, if it doesn't apply to your chapter, complete with N/A, zero or NO.
Email address *
Chapter: *
Your answer
Name of chapter advisor submitting this information: *
Your answer
Was a chapter parent/member banquet held in 2019? *
(250 pts.)
Number of chapter members who attended the 2019 Tennessee Forestry Camp: *
(25 pts. each with a Maximum of 50 pts.)
Your answer
Number of chapter members who attended a 2020 FFA Goodwill Tour event: *
(20 pts. per student with a maximum of 100 pts.)
Your answer
Was the chapter represented by two delegates at the 2019 Tennessee FFA State Convention? *
(200 pts.)
Did the chapter advisor and/or a FFA member attend the 2019 National FFA Convention? *
(200 pts.)
Does the chapter have 100% membership? *
(175 pts.)
Does the chapter have 90% membership? *
(125 pts.) Do not mark yes if you have 100%! (points are only awarded for the highest percentage not all)
Does the chapter have 75% membership? *
(75 pts.) Do not mark yes if you have 90%! (points are only awarded for the highest percentage not all)
Did the chapter have a 10% membership increase this school year? *
(50 pts.) Do not mark yes if you have 100%, 90% or 75% membership! (points are only awarded for the highest percentage not all)
Does the chapter have a local alumni affiliate with a minimum of 10 paid members? *
(200 pts.)
Number of members attending Tennessee FFA Leadership Camp in 2019: *
(25 pts. each with a maximum of 150 pts.)
Your answer
Number of camp members receiving outstanding leadership certificates: *
(Total Bronze, Silver and Gold Together) (10 pts. each)
Your answer
Number of members attending the 2019 West TN Greenhand Conference: *
(20 pts. each with a maximum of 100 pts.)
Your answer
Name of your regional officer candidate NOT elected for the 2019-20 school year: *
(50 pts.)
Your answer
Name of your regional officer elected for the 2019-20 school year: *
(100 pts.)
Your answer
Name of your state officer candidate NOT elected for the 2019-20 school year: *
(100 pts.)
Your answer
Name of your state officer elected for the 2019-20 school year: *
(200 pts.)
Your answer
Name of 2019 state officer nominating committee member from your chapter: *
(50 pts.)
Your answer
A copy of your responses will be emailed to the address you provided.
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