Ag Ed Students 2015-16 (FY16)


  1. Chapter Number -- NUMBER ONLY -- do NOT include "IA" prefix


  1. Gender
    Female
    Male


  1. GRADE in school
    7th
    8th
    9th
    10th
    11th
    12th


  1. Residence (Home)
    Town/City
    Acreage
    Farm


  1. Current FFA Member
    Yes
    No


  1. FFA District 


  1. 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.


  1. FFA Leadership CDEs - During all of my years as an FFA member, I have participated in at least ONE of the following: 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, Ag Sales (Individual), Chapter Activity Exhibit, Chapter Program, Chapter Website, Reporter's Scrapbook, Treasurer's Book, Secretary's Book
    Yes
    No


  1. FFA Ag Skills CDEs - During all of my years as an FFA member, I have participated in at least ONE of the following: 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


  1. NET INCOME from OWNERSHIP project(s) Jan. 1-Dec. 31, 2015 -- Note: NET INCOME = Total Income minus Total Expense
    a. $0 to $500
    b. $501 to $1,000
    c. $1,001 to $1,500
    d. $1,501 to $2,000
    e. $2,001 to $2,500
    f. $2,501 to $3,000
    g. $3,001 to $3,500
    h. $3,501 to $4,000
    i. $4,001 to $4,500
    j. $4,501 to $5,000
    k. $5,001 to $6,000
    l. $6,001 to $7,000
    m. $7,001 to $8,000
    n. $8,001 to $9,000
    o. $9,001 to $10,000
    p. $10,001 to $15,000
    q. $15,001 to $20,000
    r. over $20,000
    s. NA Not Applicable to my Ag Ed experience.


  1. TOTAL WAGES from PLACEMENT project(s) Jan. 1-Dec. 31, 2015 -- Do NOT subtract Payroll Withholdings i.e., State/Federal/FICA.
    a. $0 to $500
    b. $501 to $1,000
    c. $1,001 to $1,500
    d. $1,501 to $2,000
    e. $2,001 to $2,500
    f. $2,501 to $3,000
    g. $3,001 to $3,500
    h. $3,501 to $4,000
    i. $4,001 to $4,500
    j. $4,501 to $5,000
    k. $5,001 to $6,000
    l. $6,001 to $7,000
    m. $7,001 to $8,000
    n. $8,001 to $9,000
    o. $9,001 to $10,000
    p. $10,001 to $15,000
    q. $15,001 to $20,000
    r. over $20,000
    s. NA Not Applicable to my Ag Ed experience.


  1. PAID HOURS Jan. 1-Dec. 31, 2015

    Note: Business "Owners" do NOT accrue PAID HRS.
    a. 0 to 100 hrs.
    b. 101 to 200 hrs.
    c. 201 to 300 hrs.
    d. 301 to 400 hrs.
    e. 401 to 500 hrs.
    f. 501 to 600 hrs.
    g. 601 to 700 hrs.
    h. 701 to 800 hrs.
    i. 801 to 900 hrs.
    j. 901 to 1,000 hrs.
    k. 1,001 to 1,100 hrs.
    l. 1,101 to 1,200 hrs.
    m. 1,201 to 1,300 hrs.
    n. 1,301 to 1,400 hrs.
    o. 1,400 to 1,500 hrs.
    p. NA Not Applicable to my Ag Ed experience.


  1. UNPAID HOURS Jan. 1-Dec. 31, 2015

    Note: Business "Owners" do NOT accrue UNPAID HRS.
    a. 0 to 100 hrs.
    b. 101 to 200 hrs.
    c. 201 to 300 hrs.
    d. 301 to 400 hrs.
    e. 401 to 500 hrs.
    f. 501 to 600 hrs.
    g. 601 to 700 hrs.
    h. 701 to 800 hrs.
    i. 801 to 900 hrs.
    j. 901 to 1,000 hrs.
    k. 1,001 to 1,100 hrs.
    l. 1,101 to 1,200 hrs.
    m. 1,201 to 1,300 hrs.
    n. 1,301 to 1,400 hrs.
    o. 1,400 to 1,500 hrs.
    p. NA Not Applicable to my Ag Ed experience.


  1. I have conducted one or more AGRISCIENCE RESEARCH project(s) from Jan. 1-Dec. 31, 2015

    Yes
    No


  1. I have conducted one or more EXPLORATORY project(s) from Jan. 1-Dec. 31, 2015

    Yes
    No


  1. I have PLANNED one or more SAE project(s) from Jan. 1-Dec. 31, 2015.
    Yes
    No


  1. My SAE or real-world learning experience(s) were Evaluated (or Graded) by my Ag Teacher (or other SAE Supervisor).

    Yes
    No


  1. I am (or have been) a FFA CHAPTER OFFICER.

    Yes
    No


  1. After graduating from high school, I plan to...

    a. Go directly to WORK in an AGRICULTURAL CAREER.
    b. Go directly to WORK in a NON-AGRICULTURAL CAREER.
    c. ATTEND a 2-year college in an agricultural major.
    d. ATTEND a 2-year college in a NON-agricultural major.
    e. ATTEND a 4-year college in an agricultural major.
    f. ATTEND a 4-year college in a NON-agricultural major.


  1. Career Pathway of GREATEST INTEREST to me.

    a. Agribusiness Systems (marketing, finance, sales, etc.)
    b. Plant Systems (agronomy, horticulture, landscaping, golf course mgmt., etc.)
    c. Animal Systems (animal production, feed sales, veterinarian, etc.)
    d. Power, Structural, Technical Systems (mechanics, construction, GPS, etc.)
    e. Natural Resources Systems (parks, forests, etc.)
    f. Environmental Systems (water mgmt., waste mgmt., etc.)
    g. Food Products and Processing Systems (food science, etc.)
    h. Biotechnology Systems
    i. NOT Interested in an Career in Agriculture, Food and Natural Resources


  1. I may be Interested in being an Ag teacher and FFA Advisor.

    Yes
    Yes, especially if I could complete part of the degree at a community college.
    No


  1. My Race/Ethnicity is ___.

    Note: This data is collected to identify cultural differences which may exist, and need to recognized to improve the delivery of Agricultural Education.
    American Indian or Alaskan Native
    Asian
    Black or African American
    Hispanic or Latino of any race
    Native Hawaiian or Other Pacific Islander
    White
    Two or more races





Dale Gruis
Instructor
Collins-Maxwell MS/HS
IA