2017-2018 Leadership Division Report Form
The following information will need to be provided by March 2, 2018 to be awarded in the 2017-18 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.

Chapter *
Your answer
Was a Chapter Parent Member Banquet held in 2017? *
(250 pts.)
Number of Chapter Members who attended the 2017 State Forestry Camp. *
(25pts. each with a Maximum of 50 pts.)
Your answer
Number of Chapter Members who attended the 2018 Goodwill Tour Banquet at UT Martin. *
(20 pts. per student with a maximum of 100 pts.)
Your answer
Was the chapter represented by two delegates at the 2017 State FFA Convention? *
(200 pts.)
Did the chapter advisor and/or an FFA member attend the 2017 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)
Does the Chapter have a 10% membership increase? *
(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 FFA Camp in 2017: *
(25 pts. each with a maximum of 150 pts.)
Your answer
Number of camp members receiving Outstanding Leadership Certifictes: *
(Total Bronze, Silver and Gold Together) (10 pts. each)
Your answer
Number of members attending the 2017 Greenhand Conference. *
(20 pts. each with a maximum of 100 pts.)
Your answer
Number of members attending the 2017 West TN Alumni Holiday Program. *
(10 pts. for each Alumni Member attending with a maximum of 50 pts.)
Your answer
Name of your Regional Officer Candidiate NOT elected for the 2017-18 school year.
(50 pts.)
Your answer
Name of your Regional Officer elected for the 2017-18 school year.
(100 pts.)
Your answer
Name of your State Officer candidate NOT elected for the 2017-18 school year.
(100 pts.)
Your answer
Name of your State Officer elected for the 2017-18 school year.
(200 pts.)
Your answer
Name of 2017 State Nominating Committee Member from your chapter.
(50 pts.)
Your answer
Name of Chapter Advisor Submitting this information *
Your answer
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