Big City, Big Country Road Show
Student Application

Thanks for your interest in this innovative student recruitment project. To be considered for the 2009 Road Show in San Antonio, please complete the following fields and click the submit button.


Contact Information:

Title:
First Name: Last Name:
School Name:

Your Home Address:
City: State: Zip Code:
E-mail:
Telephone:


What is your age?

What is your gender?

Female
Male

What is your race?
American Indian
Asian American
Black/African American
Hispanic American
White/Anglo-American
Have you ever been involved in (check all that apply):
FFA
4-H
Young Farmers
What grade are you in right now?
9th
10th
11th
12th
Please check all family members who have ever been involved in an agriculture-related occupation or lifestyle.
Great-grandparents
Grandparents
Parents
Legal Guardians
Brothers/Sisters
Uncles/Aunts
Cousins
What is your favorite subject in high school?
Do you plan to attend college after high school?
Yes
No
Have you talked with your parents about attending college?
Yes
No
Would you consider a career in communications/journalism?
Yes
No
Would you consider a career in the agricultural sciences?
Yes
No
What subjects would you most like to study in college?

What is your ideal career?


     (to avoid duplicating your information, please click submit once)

Thanks for your application!

If you have questions about this project, send us an E-mail