ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Granite State FFA Association
2
State FFA Degree Application
3
Candidate Information
4
Name
5
6
Date of BirthAge
7
8
Phone NumberEmail Address
9
10
AddressStreet
11
Town, State, Zip Code
12
13
Names & Email Addresses of Parents/Guardians
14
15
16
17
18
FFA Chapter
19
20
FFA Advisor(s)
21
22
Home High School
23
Home High School AddressStreet
24
Town, State, Zip Code
25
Principal Name & Email
26
27
28
Year FFA Membership Began
29
30
Years or Hours of Agricultural Education Completed as of June 30th
31
32
Year in School at time of Applying (10, 11, 12, Grad)
33
34
If you have Graduated from High School, Year Graduated
35
36
Certifying Information
37
We, the undersigned, have reviewed this application and find it true to the best of our knowledge. We hereby certify that the applicant has successfully met the minimum qualifications for the Granite State FFA Degree, including a satisfactory scholastic record. We understand that the applicant must be present at the Granite State FFA Convention in order to receive this degree, unless excused by the State FFA Advisor because of extenuating circumstances.
38
39
40
41
42
43
44
Candidate SignatureDate
45
46
47
Parent/Guardian SignatureDate
48
49
50
Chapter FFA Advisor SignatureDate
51
52
53
Principal/Headmaster/CTE Director SignatureDate
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100