Ag Report STUDENTS (FY17) (v.Dec16)
Name
Your answer
1. Chapter Number--NUMBER ONLY (example: 109)
Your answer
2. Sex
3. Grade in School
4. Residence (Home)
5. Current FFA Member
6. FFA District
7. Parent(s)/Guardian(s)
8. 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.
9. 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 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, Soils Evaluation.
10. NET INCOME from OWNERSHIP project(s) Jan. 1 - Dec. 31, 2016 -- Note: NET INCOME = Total Income minus Total Expense.
11. TOTAL WAGES from PLACEMENT project(s) Jan. 1 - Dec. 31, 2016 -- Note: Do NOT subtract payroll withholdings, i.e., state/federal/FICA.
12. PAID HOURS Jan. 1 - Dec. 31, 2016. NOTE: Business "Owners" do NOT accrue PAID Hrs. Business "Owners" should choose option NA.
13. UNPAID HOURS Jan. 1 - Dec. 31, 2016. NOTE: Business "Owners" do NOT accrue PAID Hrs. Business "Owners" should choose option NA.
14. I have conducted one or more AGRISCIENCE RESEARCH project(s) from Jan. 1 - Dec 31, 2016
15. I have conducted one or more EXPLORATORY project(s) from Jan. 1 - Dec 31, 2016
16. I have PLANNED one or more SAE project(s) from Jan. 1 - Dec. 31, 2016
17. My SAE or real-world learning experience(s) were Evaluated (or Graded) by my Ag Teacher (or other SAE Supervisor).
18. I am (or have been) a FFA CHAPTER OFFICER.
19. After graduating from high school, I plan to...
20. Career Pathway of GREATEST INTEREST to me.
21. I may be interested in being an Ag teacher and FFA Advisor.
22. 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
Submit
Never submit passwords through Google Forms.
This form was created inside of Iowa FFA. Report Abuse - Terms of Service - Additional Terms