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Ag Ed Students 2013-14
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School Number (FFA Chapter Number - number ONLY NO "IA")
Sex
Female
Male
GRADE level
7th
8th
9th
10th
11th
12th
Primary RESIDENCE (home)
Farm
Acreage
Town/City
Currently a FFA MEMBER
Yes
No
FFA District in which school is located.
NW
NC
NE
SW
SC
SE
Parents/Guardians
At least one of my Parents/Guardians FARMS.
At least one of my Parents/Guardians works in an AGRICULTURE-RELATED career/job.
NONE of my Parents/Guardians work in an AGRICULTURE-RELATED career/job.
I have participated in at least one "Leadership" Career Development Events during my year(s) in Ag Ed/FFA.
Examples: Conduct of Meetings, Parliamentary Procedure, Job Interview, Creed Speaking, Public Speaking, Extemporaneous Speaking, Ag Broadcasting, Ag CSI, Ag Impact, Ag Discussion Meet, Ag Issues and Perceptions, Individual Ag Sales, Chapter Activity Exhibit, Chapter Program, Chapter Website, Reporter's Scrapbook, Treasurer's Book, Secretary's Book
Yes
No
I have participated in at least one "Ag Skills" Career Development Events, during my year(s) in Ag Ed/FFA.
Examples: Ag Communications, Ag Mechanics, Ag Sales (team), Agronomy, Dairy Cattle, Environmental and Natural Resources, Farm Bus. Mgmt., Floriculture, Food Science, Forestry, Horse, Livestock, Marketing Plan, Meats, Milk Quality and Products, Nursery/Landscape, Soils Evaluation
Yes
No
Wages/Profits from all experiential learning (SAE) projects conducted from Jan. 1 to Dec. 31, 2013.
$0
$1 to $1,000
$1,001 to $3,000
$3001 to $5,000
$5,001 to $10,000
$10,001 to $15,000
$15,001 to $20,000
over $20,000
UNPAID Hrs.
No SAE
PAID HOURS - From Jan. 1 to Dec. 31, 2013 I recorded ____ paid hours in my record book(s).
- Entrepreneurship programs are NOT recognized for PAID or UNPAID hours of the owner(s).
0 to 100 hrs.
101 to 500 hrs.
501 to 1000 hrs.
1,001 to 1,500 hrs.
1,501 to 2,000 hrs.
2,001 to 2,500 hrs.
over 2,500 hrs.
NA -- Not Applicable (Entrepreneurship SAEs cannot claim PAID hours paid.)
No SAE
UNPAID HOURS - From Jan. 1 to Dec. 31, 2013 I recorded ____ unpaid hours in my record book(s).
Note: Businesses owned may NOT recognize PAID or UNPAID hours.
- Income and expenses for Entrepreneurship (ownership) are recognized for FFA awards/degrees.
- Hours worked for Entrepreneurship (ownership) are NOT recognized for FFA awards/degrees.
0 to 100 hrs.
101 to 500 hrs.
501 to 1000 hrs.
1,001 to 1,500 hrs.
1,501 to 2,000 hrs.
2,001 to 2,500 hrs.
over 2,500 hrs.
NA -- Not Applicable (Entrepreneurship SAEs cannot claim PAID hours paid.)
No SAE
I maintain records on a business I own.
- i.e. raising livestock, raising crops/vegetables, lawn mowing , tractor restoration business, etc.
Yes
No
I maintain records of PAID work/employment.
- working for a neighbor, working at a feed store, etc.
Yes
No
I maintain records of UNPAID work.
- i.e., hours I work but I am not paid, helping with family business, helping an elderly neighbor plant a garden, etc.
Yes
No
I maintain records of an Experimental project, an Exploratory project, an Improvement project, and/or Supplementary activities.
- Experimental project such as: Agriscience Fair, comparing the effect of various media on plant growth, determining the effect of Nitrogen levels on corn growth, determining the strengths of various welds made with different electrodes, etc.
- Exploratory Project such as: observing or assisting a florist, veterinarian ,etc., interviewing an Ag loan officer
- Improvement project such as: landscaping your home, remodeling or painting a room, reorganizing a shop, etc.
- Supplementary activities such as: pruning a tree, cutting firewood with a chainsaw
Yes
No
I am PLANNING an experiential learning project (SAE), but I do not currently have one.
True
False
I do NOT have an experiential learning project (SAE).
True
False
I am (have been) a FFA CHAPTER OFFICER.
Yes
No
Experiential learning (SAE) - select one
SAE is graded, and I like being recognized for learning outside of the regular school.
SAE is graded, but I do NOT like being recognized for learning outside of the school.
SAE is NOT graded, but I would like to be recognized for learning outside of the regular school.
SAE is NOT graded, and I like NOT being recognized for learning outside of the school.
N/A: I do NOT have Experiential Learning project(s) (SAE)
After graduating from high school, I plan to...
Go directly to WORK in an AGRICULTURAL CAREER.
Go directly to WORK in a NON-AGRICULTURAL CAREER.
ATTEND a 2-year college in an agricultural major.
ATTEND a 2-year college in a NON-agricultural major.
ATTEND a 4-year college in an agricultural major.
ATTEND a 4-year college in a NON-agricultural major.
Career Pathway of GREATEST INTEREST to you.
Agribusiness Systems (marketing, finance, sales, etc.)
Plant Systems (agronomy, horticulture, landscaping, golf course mgmt., etc.)
Animal Systems (animal production, feed sales, veterinarian, etc.)
Power, Structural, Technical Systems (mechanics, construction, GPS, etc.)
Natural Resources Systems (parks, forests, etc.)
Environmental Systems (water mgmt., waste mgmt., etc.)
Food Products and Processing Systems (food science, etc.)
Biotechnology Systems
NOT Interested in an Career in Agriculture, Food and Natural Resources
I am interested in pursuing a career as an Agriculture Educator.
(Ag Ed teacher/FFA Chapter Advisor)
Yes
Yes. Especially if I could complete part of the degree at a community college.
No
Dale Gruis
Instructor
Collins-Maxwell MS/HS
IA
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