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					                                                                                                 Revised 2010




                          Illinois FFA Alumni Association
                    Leadership Scholarship For Attendance at the
                           Illinois FFA Leadership Camp

Purpose of the Leadership Scholarship:
The Leadership Scholarship is designed specifically to increase FFA member’s educational experiences,
leadership and personal development through the Illinois Leadership Camp.

Eligibility for the Scholarship:
The Illinois FFA Alumni Association will provide a minimum of five (5) leadership scholarships. The
scholarship shall consist of a complete registration fee for a FFA member to attend the Illinois Leadership
Camp. One applicant may be submitted from each FFA Chapter that has an active Alumni affiliate.

What is the Illinois FFA Leadership Camp?
The function of the Illinois FFA Leadership Camp is to further develop leadership, confidence and skills.
Those attending will participate in leadership and personal development workshops. The four day camp
is conducted during the summer at Monticello, during the last week of July.

Guidelines for Selection:
    1. Each local alumni affiliate in active operation and in good standing is eligible to submit one (1)
       FFA member to the State FFA Alumni Association for judging. In order to be in good standing,
       an alumni affiliate must have a minimum of ten dues paying member, a list of affiliate officers
       and a current roster on file with the Illinois FFA Center. Chapters that do no submit the dues,
       roster and list of officers to the Illinois FFA Center by March 1st will not be eligible to receive a
       scholarship until those items are submitted and they recover their “Good Standing”.
    2. The attached application form must be completed. In addition, a 100-200
       word typed paper on “Why I want to attend” is required.
    3. The application must be signed by the applicant, parent or guardian, local FFA
       Advisor, high school principal, and local FFA Alumni President.
    4. Each scholarship recipient is to provide his or her own transportation. The nominating alumni
       affiliate may wish to assist in this expense as a part of their efforts.
    5. The application must be received at the Illinois FFA Center by March 1st.


                         Remember!!!!!!!! One Application per Alumni Affiliate

                                    NO FAXES WILL BE ACCEPTED

                              Return application to: Illinois FFA Alumni
                                                     3221 Northfield Drive
                                                     Springfield, Illinois 62702
                                                                                             Revised 2010

                                 FFA Leadership Camp
                                 Scholarship Application
                          Sponsored by the Illinois FFA Alumni Association
               This application must be received at the Illinois FFA Center by March 1st!!

Name:
Address:
City:                                                       State: IL      Zip: Zip
Name of school attending:
Name of local FFA Alumni Chapter:
Part 1. List your current Supervised Agricultural Experience Program.




Part 2.        Participation in FFA Leadership Activities. Please fill in blanks
               with your FFA activities and awards.
                                            Freshman            Sophomore                Junior
            FFA Activity                     2005-06             2005-06                2005-06
                   Chapter Officer
                   Sectional Officer
              Section FFA Meeting
           National FFA Convention
                Additional Activity
                Additional Activity
                Additional Activity
                Additional Activity
                Additional Activity
                Additional Activity
                Additional Activity
                Additional Activity
                Additional Activity
                Additional Activity
                                                                      Revised 2010
Participation in School Leadership Activities. Please fill in blanks with your
school leadership activities
                                   Freshman      Sophomore          Junior
        FFA Activity                2005-06       2005-06          2005-06
                 Class Officer
                Student Council
           Class Play/Dramatics
                         Debate
                     Newspaper
                     Year Book
                   Chorus/Band
                       Athletics
             Additional Activity
             Additional Activity
             Additional Activity
             Additional Activity



Participation in Community Leadership Activities. Please fill in blanks with
your community leadership activities
                                   Freshman      Sophomore          Junior
        FFA Activity                2005-06       2005-06          2005-06
                        Church
                       4-H Club
               Livestock/Breed
                          Rural
             Additional Activity
             Additional Activity
             Additional Activity
             Additional Activity
             Additional Activity
                                                                         Revised 2010
Part 3.

1.    What is your career objective or goal?




2.    On the back of this page or an attached sheet, please explain in 200
      words or less why you want to attend the Illinois FFA Leadership
      Camp.


                                    ______________________________
                                    Signature of Applicant

                                    ______________________________
                                    Signature of Parent or Guardian

                                    ______________________________
                                    Signature of local FFA Advisor

                                    ______________________________
                                    Signature of High School Principal

                                    ______________________________
                                    Signature of local FFA Alumni President


Return Application to:        Illinois FFA Alumni Association
                              3221 Northfield Drive
                              Springfield, Illinois 62702

 This application must be received at the Illinois FFA Center
                        by March 1st.
Revised 2010

				
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