Wethersfield FFA Alumni Achievement Award Application This application for the FFA Alumni Achievement Award is to be filled out by a graduating senior agriculture student of Wethersfield High School. It is to be received by the Agricultural Education Instructor no later than April 1st. The achievement award will be based on the student’s initiative both scholastically and through their participation in Agriculture class and FFA activities for at least 3 years in his/her high school career. The achievement award will be based on three distinct areas: Part 1 – grade point average at the beginning of second semester of his/her senior year. Part 2 – participation in agricultural education and FFA activities Part 3 – ability to compose an essay and ability to communicate through an interview about his/her FFA activities and career goals while in Official Dress. This award is sponsored by the Wethersfield FFA Alumni. The award can be given to one or more individuals with the dollar amount to be decided by the selection committee and Alumni annually. Preference may be given to those pursuing a career in Agriculture. The recipient(s) will be chosen by a selection committee composed of Wethersfield FFA Alumni Association members as well as the Agricultural Education Instructor as Ex – official. 1 Wethersfield FFA Alumni Achievement Award Application Directions: Please type or neatly print the following information. Name: _____________________________________________________________ Address:____________________________________________________________ Home Phone: _______________________________________________________ E-Mail: ____________________________________________________________ Birth Date: _______________________ SSN: _______________________ Part 1: Scholastic Grade Point Average: ______________________________ Part 2: Activities and Awards Add point totals together from pages 2-6 ______________________________ Part 3: Essay On an additional sheet, write an essay about yourself and your career plans for the future. Include how FFA has helped you and why you should receive this award. This essay should be between 800 – 1000 words typed. 2 I hereby declare the information in this application to be true to the best of my knowledge Students Signature:_________________________________________ Date_____________ Parent or Guardian Signature: _____________________________ ___ Date _____________ Advisor Signature: __________________________________________ Date _____________ Part 2: Activities and Awards Direction: Write the points earned per activity per year in the appropriate box below. Please total the point values on each page. Chapter Activities: Fresh Attended State Convention 15 Participated in State Convention (band, chorus, delegate, etc.) 10 Worked during Hog days 10 Helped on Homecoming Float 10 Helped on Homecoming Activities 10 Attended National Convention 25 Participated in National Convention (band, chorus, delegate, etc.) Attended Field Trips 10 10 Helped with other chapter fundraisers 10 Worked at concession stand(s) 10 Worked at petting zoo 10 Attended Farm Progress Show 10 Attended BHE FFA Week Breakfast 10 Help keep internet page current 10 Conduct FFA Week Radio spots 10 3 Soph. Jr. Sr. Helped with education exhibits/displays 10 (Ag Open House, ISBE/School Board Mtg, etc.) Helped with Freshmen Orientation 10 N/A Helped with Ag Olympics 10 Helped with WHS Livestock Judging contest Helped with Foundation Sponsor Recognition Helped with FFA Alumni Activities 10 10 10 (Spaghetti Supper, Basketball Chop Dinner, etc.) Helped with community service projects 10 (collect donations, plant trees, pick up trash, etc.) Community Activities Outside FFA Chapter Other Activities: 10 Column Totals Chapter Activities Total: _______________ 4 Section Activities: Tournaments (basketball, volleyball, etc.) 10 Banquet 10 Other: Column Totals Section Activities Total: _______________ 5 FFA Contests (CDE’s) Total: ____________ Leadership Activities: Total Points Possible Greenhand Officer 5 Chapter Officer 15 Section Officer 20 State Officer 25 National Officer 30 Greenhand Degree 15 Chapter FFA Degree 15 State FFA Degree 20 American FFA Degree 30 Chapter Scholar 10 Public Appearance (speaking for Ag Education/FFA) 5 Attended Leadership Training School 10 Served on Committees (Chair=10pts. Member=5pts) Ag Olympics Banquet Communication Homecoming Activities (float committee, etc) Homecoming Hog Roast PALS Petting Zoo Pre-Program of Activities Program of Activities Other: Column Totals 6 X Fresh. X Soph. X Jr. Sr. X X Leadership Activities Total: _____________ SAE Projects Exhibited at Ag Science Fair Total Points Possible 15 For each completed project / year 15 Chapter Outstanding Record book (1/class/yr) 10 Exhibited at Section 3 FFA Fair 15 Fresh. Soph. Jr. Sr. Other: Column Totals SAE Projects Totals: ____________ Ag Awareness/Promotion Total Points Possible Ag Legislative Day 10 Farm Bureau Youth Conference 10 FFA Leadership Camp 10 4-H Camp/Conference 10 IAYI 5 Made For Excellence (212 Conference) 10 Washington Leadership Camp 10 Fresh. Soph. Jr. Sr. Other: Column Totals Ag Awareness/Promotion Total: _____________ 7