2017 POA Work Night Committee Survey

In order to try and create committees with interested and engaged individuals, we would like for you to take a couple of minutes to complete.

Name


  1. Are you planning on attending the Program of Activities (POA) Worknight on Monday, August 28th?
    Yes
    No
    Uncertain


  1. Of the following classifications of committees, rank them based upon your experience or interest.
        1 2 3
    Growing Leaders (Leadership, Healthy Lifestyle, Scholarship, Personal Growth, Career Success)  
    Building Communities (Environmental, Human Resources, Citizenship, Stakeholder Engagement, Economic Development)  
    Strengthening Agriculture (Support Group, Chapter Recruitment, Safety, Agricultural Advocacy, Agricultural Literacy)  


  1. From your choice in committee (Question 2), do you believe you have any unique abilities, talents, or experiences which qualifies you for that committee? Explain below.


  1. How many pieces of pizza would you like to have ordered for you?
    0
    1
    2
    3
    4


  1. What flavor of pizza would you like to have?
    Pepperoni
    Beef
    Sausage
    Canadian Bacon
    Cheese





Ag Teacher
Stuart Public School
Stuart, NE