2018-2019 Nebraska FFA State Officer Request Form
Please feel welcome to use this form to request state officers for chapter events. Do not use this form for annual chapter visits, only for special events.
Chapter Name *
Your answer
Teacher Name *
First and Last
Your answer
Teacher Email *
Your answer
Teacher Cell Phone Number *
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Event Description *
What is the event? What will the visiting state officer(s) need to do? How many people will be in attendance?
Your answer
Officer Attire- please select from the following *
Officer Mileage Reimbursement *
Required
Physical Address that the officer(s) will need to be arrive at *
Your answer
Number of Officers Requested *
Your answer
State Officer(s) Preferred *
Efforts will be made to accommodate preferences, but when preferences cannot be met, another state officer will be sent. Select all that are preferred.
Required
Submit
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