2016-17 NORTH COAST REGION FFA OFFICER APPLICATION
Must be typed
Name of Candidate
Home Address
Home Phone
City
Zip Code
E-mail address
Parents Name
Name of FFA Chapter
FFA Jacket Size
Year in School
Cumulative GPA 5pts
Highest Degree Held
Complete the following chart relative to leadership offices held. Please use years. 5pts.
Other than FFA
Office Held
Chapter
Section
Region
Complete the following chart relative to leadership conferences attended. Please use years.
5pts.
Conference
Section
Region
State
National
Other
Complete the following chart relative to leadership contests or Judging Teams that you have
participated in. Please use years. 5pts.
Leadership Contest
Chapter
Section
Region
State
National
List the regional office that you are most
interested in. 5pts.
Answers below should be complete and concise for full points.
Please explain why you wish to be a member of the North Coast Regional Officer Team.
0 to 8pts.
List and describe three leadership qualities that best prepare you to serve as a regional
officer. 0 to 12 points
What would be your number one goal if elected as a regional FFA officer and what plan
do you have to achieve that goal? 0 to 10 Points
What has been your greatest struggle and how have you overcome it or how are you
working to overcome it? 0 to 10 Points
I _ _ _______________ __, hereby approve of my son/daughter,
_________________________ _, running/becoming a North Coast Region FFA Officer
for 2016-2017. I realize that she/he is responsible for their officer duties and will uphold
them to the best of their ability. I further understand my child is required to be at all
North Coast Region Activities. I am aware that repeated absences from official officer
functions will result in my student's early dismissal from the officer team. His/Her
presence at the officer retreat and ROLC is mandatory!
Parent/Guardian Signature:
_________________________________
Date:
____________
I ___________________________, hereby approve of my student, ___
________________________________, running/becoming a North Coast Region FFA
Officer for 2016-2017. I realize that she/he is responsible for their officer duties and will
uphold them to the best of their ability. I further understand my student is required to be
at all North Coast Region Activities. I am aware that repeated absences from official
officer functions will result in my student's early dismissal from the officer team. His/Her
presence at the officer retreat and ROLC is mandatory!
Chapter Advisor Signature:
_____________________________ Date: ____________
I understand I am responsible for my duties as a North Coast Region officer and will
uphold them to the best of my ability. I further understand I am required to be at all
North Coast Region Activities. I am aware that repeated absences from official officer
functions will result in my early dismissal from the officer team. My presence at the
officer retreat and ROLC is mandatory!
Applicant Signature:
_________________________________ Date: ____________
Mail applications to:
Hugh Mooney, Consultant
California Department of Education
1430 N Street, Suite 4202
Sacramento, CA 95814
Application Deadline:
Applications must be received by the North Coast Region Advisor at the address listed
above by February 11, 2016.
Interview Date/Location:
February 20, 2016 – 9:30 a.m.
Agriculture Department
Ukiah High School
1000 Low Gap Road
Ukiah, CA 95482
The following dates are required for those elected to North Coast Region Office.
2016 Spring Region FFA Meeting – April 2, 2016
2016 State FFA Leadership Conference – April 23-26, 2016
North Coast Region Officer Retreat – June 11-12, 2016
Regional Officer Leadership Conference – July 6-9, 2016
North Coast Region Chapter Officer Leadership Conference – September 23-24, 2016
North Coast Region Spring Meeting and State Degree Ceremony – March 25, 2017
2017 State FFA Leadership Conference – April 22-25, 2017
A Candidate can earn up to 70 points from the application and 30
points from the interview. Of the 70 points on the application you will
notice that the point value assigned to the different parts of the
application are listed. Five points are awarded at the discretion of the
nominating committee based on their opinion of the overall
application. To be a qualified candidate for North Coast Region Office
you must earn a minimum score of 70 points. No Candidate who
earns less then 70 points will be slated on the ballot.
If you would like additional information about the opportunity to serve as a North Coast
Region FFA Officer, you many contact a current officer listed below.
North Coast Region President, Jared Smith, 707-349-7171 Jaredrsmith07@gmail.com
North Coast Region Secretary, Emma Manoukian, 707-478-8811
emma.danielle25@gmail.com
North Coast Region Vice President At-Large,
Genevieve Regli 707-601-9566 Gmregli11@gmail.com
North Coast Region Vice President for the Mendocino/Lake Section,
Katie Klingbeil 707-391-6208 katiemklingbeil@gmail.com
North Coast Region Vice President for the Humboldt/Del Norte Section,
Tanner Levitt 707-834-0716 Tannerlevitt0@gmail.com
North Coast Region Vice President for the Solano/Alameda Section,
Dawson Dal Porto 925-980-9940 Dawsondp@aol.com
North Coast Region Vice President for the Sonoma Section,
Emily Nunez 707-477-4312 Emilynunez10@gmail.com