Rural Ambassador Nomination Form
* Required
Which Ambassador category are you nominating in?
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Choose
Rural Ambassador
Junior Show Ambassador
Applicant's Name
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Your answer
Address
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Your answer
Phone
*
Your answer
Education
*
Your answer
Qualifications
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Your answer
Rural / Agricultural Background
*
Your answer
Current Rural / Agricultural Connection
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Your answer
Goals
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Your answer
Community Involvement
*
Your answer
Nominee's Name
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Your answer
Nominee's Phone
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Your answer
Seconder
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Your answer
Seconder's Phone
*
Your answer
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