2019 Royalty/Representative Interest Form
INTEREST FORMS MUST BE RECEIVED NO LATER THAN FRIDAY, APRIL 26, 2019.

If needed, printed copies are available at the 4-H office or email clermontcountyroyalty@gmail.com to request a copy of the form. PRINTED INTEREST FORMS MUST BE RECEIVED BY 4 PM FRIDAY APRIL 26, 2019.

Mail or drop off printed forms to:
OSU Extension
Attn: Royalty Committee
PO Box 670
1000 Locust St.
Owensville, Ohio 45160

* Individuals may only be nominated for one industry representative position.
* King and Queen candidates may also be nominated for one industry representative position.

Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
4H Club/FFA Chapter Name *
Your answer
Advisor's Name *
Your answer
Date of Birth *
Your answer
Age as of January 1, 2019 *
Your answer
Please select the ROYALTY position you are interested in applying for: (all ages as of January 1, 2019) *
Please select the INDUSTRY REPRESENTATIVE position that you are interested in applying for: (all ages as of January 1, 2019) *
Thank you for expressing interest in the 2019 Clermont County Royalty contest.
You will receive further information regarding the application process by May 11, 2019.
Completed applications must be received on or before Friday, June 7, 2019.
Interviews will be held on Sunday, July 14, 2019.
A copy of your responses will be emailed to the address you provided.
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