Farm Business Management

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					                                                                                                             10.003a
                                                                                                       rev.8/10/06pc

                                    New Jersey FFA Association
                                  Farm Business Management CDE
                                       Electronic Registration
   Preregistration is required for attendance. Please send your completed registration form to
   ag.ed.registration@ag.state.nj.us. Please forward payment or purchase order on or before
                                          March 1, 2010.
REGISTRATION DUE: 3/1/10                                          EVENT DATE: 3/24/10
Chapter #                 NJ           ***only type the last 4 digits of your chapter number ie:0001

Chapter Name
Phone Number
Advisor's Name
Proctor's Name

                       Farm Business Management Career Development Event
    Participant 1
    Participant 2
    Participant 3
    Participant 4

                                                       # of Participants Registered                                   0
                                      $9.00 Registration Fee For Each Registration                      x $       9.00
                         Farm Business Management CDE Registration Total $                                         -


            Please send a check payable to: Treasurer, State of New Jersey
                              In the amount of: $                                   -
                Checks should be mailed to: Office of Agricultural Education
                                                         Division of Agricultural and Natural Resources
                                                         New Jersey Department of Agriculture
                                                         P.O. Box 330
                                                         Trenton, NJ 08625-0330


  “The New Jersey FFA Association is a resource and support organization that does not select, control or supervise
local chapter or individual member activities except as expressly provided for in the state FFA constitution, bylaws or
                                                      policies.”




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                                                                                                       10.003a
                                                                                               rev. 12/12/05pn

                                       New Jersey FFA Association
                           Farm Business Management Career Development Event
                             AUTHENTICITY OF WORK CERTIFICATION
                                                    0
                                               FFA Chapter
Upon completion of the Farm Business Management Exam, on Wednesday, March 24, 2010, students and the
 exam proctor need to sign this certification form and fax it to the Office of Agricultural Education at (609)
                          633-2421 along with the exam confirmation print-outs.
If this authenticity of work certification form is not received in the Office of Agricultural Education
            by 8:30 am on March 25, 2010, your team will be disqualified from the event.

I,             0             , certify that the answers provided on the Farm Business Management General
Knowledge Exam were based on my own knowledge and no outside resources were used while taking the exam.




Student Signature                                                                          Date

 I,            0             , certify that the answers provided on the Farm Business Management General
Knowledge Exam were based on my own knowledge and no outside resources were used while taking the exam.




Student Signature                                                                          Date

 I,            0             , certify that the answers provided on the Farm Business Management General .
Knowledge Exam were based on my own knowledge and no outside resources were used while taking the exam.




Student Signature                                                                          Date

 I,            0             , certify that the answers provided on the Farm Business Management General
Knowledge Exam were based on my own knowledge and no outside resources were used while taking the exam.



Student Signature                                                                          Date

            0                  As proctoring teacher for the                0                Farm Business
Management CDE team, I certify that students completed all work on their own without outside aide.


Proctor Signature                                                                          Date




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