Schulenburg ISD
Agricultural Science & FFA
Student Handbook
2010-2011
1
Table of Contents
Welcome
3
Officer Team
4
Officer Team Profile
5
Awards Program
7
Scholarship Opportunities
8
Competitive Team Activities
9
Leadership Activities
10
Ethics & Official Dress
11
Ag Science Course Offerings
12
FFA Fundraising Activities
13
FFA Member Participation
14
Hours Program
15
FFA History, Dues and Jackets
16
Overnight Trips
17
Calendar of Activities
18
Parent Travel Permission Form
21
Emergency Information Form
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The Schulenburg ISD does not discriminate on the basis of race, color, national origin, religion, sex, age
or disabilities in providing educational services, activities and programs, including Career and Technical
Education programs, in accordance with Title VI of the Civil Rights Acts of 1964, as amended; Title IX of
the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973; as amended, and
the Title II of the Americans with Disabilities Act.
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August 9, 2010
Dear Students and Parents:
Welcome to the 2010-2011 school year and the Schulenburg FFA and Schulenburg
Agricultural Science Department. It is enlightening to see the new and returning students in
our program. This year’s program of activities is loaded with a wide array of challenges and
activities for your participation.
The Agricultural Science Program consists of three elements, Classroom Instruction,
Supervised Agricultural Experience and the FFA. This is a unique program and we believe it will
be a life-changing experience for you. There are many opportunities for you to develop
leadership skills as well as experience personal growth throughout your participation.
We look forward to each of you attending the plethora of activities and meetings
available. It is a great way to make new friends and create camaraderie which will last a
lifetime. Remember, as with any endeavor you pursue, you only get out of this organization
what you put into it. We are here to offer guidance and support for each of you. Please do not
hesitate to contact one of us if we can be of any assistance.
Sincerely,
Amy Hartman
amy.hartman@schulenburg.txed.net
Brad Lux
brad.lux@schulenburg.txed.net
Shaye Beasley
shaye.beasely@schulenburg.txed.net
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2010-2011 Schulenburg FFA Officer Team
President: Chelsea Hall
Vice-President: Amber Matula
Secretary: Kaitlin Wheeler
Treasurer: Brandon Pavlica
Reporter: Sami Hall
Sentinel: Kori Dvorak
Student Advisor: Haley Little
Historian: Natalie Gabler
4
Officer Profiles
Chelsea Hall
Officer Position: President
Parents: Ricky and Debbie Hall
Grade in School: 11th
Number of Years as an FFA Member: 3
Favorite FFA Activity: Quiz Team
Most Memorable FFA Experience: Putting on District IV Leadership Camp
Hobbies: Hanging out with friends, playing phase 10 at FFA activities, reading
Life Goal: I’m not sure where I want to go to college or what I want to major in; I just know I
want to help others in my career
Amber Matula
Officer Position: Vice President
Parents: Stephen and Lisa Matula
Grade in School: 12th
Number of Years as an FFA Member: 4
Favorite FFA Activity: Showing Heifers
Most Memorable FFA Experience: Attending the Washington Leadership Conference last
summer, I enjoyed meeting FFA members from across the nation
Hobbies: Phase 10
Life Goal: I would like to complete my degree from Texas A&M and then pursue a job in the
Veterinary field
Kaitlin Wheeler
Officer Position: Secretary
Parents: Sam and Julie Lewis
Grade in School: 10th
Number of Years as an FFA Member: 2
Favorite FFA Activity: Horse Judging
Most Memorable FFA Experience: Falling through the bed at Officer Retreat
Hobbies: Reading and hanging out with friends
Life Goal: To get a college education in some Agriculture Field and make an impact in
someone’s life
Brandon Pavlica
Officer Position: Treasurer
Parents: Michael and Theresa Pavlica
Grade in School: 12th
Number of Years as an FFA Member: 4
Favorite FFA Activity: Wildlife Contest and Ag Mechanic Shows.
Most Memorable FFA Experience: Attending the Washington Leadership Conference last
summer, it was my first time to fly
Hobbies: Hunting, fishing and building things
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Life Goal: I would like to own a business after I get my welding and diesel mechanic
certifications
Sami Hall
Officer Position: Reporter
Parents: Ricky and Debbie Hall
Grade in School: 10th
Number of Years as an FFA Member: 2
Favorite FFA Activity: Chapter Conducting
Most Memorable FFA Experience: Attending Area III Greenhand camp, it was an amazing
experience
Hobbies: Reading and hanging out with friends
Life Goal: To better someone’s life
Kori Dvorak
Officer Position: Sentinel
Parents: Kimberly Dvorak and Keith Dvorak
Grade in School: 12th
Number of Years as an FFA Member: 3
Favorite FFA Activity: Ag Issues
Most Memorable FFA Experience: Doing the Moose at officer retreat last year with Cody.
Hobbies: Swimming and singing at the top of my lungs in my car
Life Goal: Become an RN and be happy in life
Haley Little
Officer Position: Student Advisor
Parents: Ronny and Patty Little
Grade in School: 10th
Number of Years as an FFA Member: 2
Favorite FFA Activity: Land Judging
Most Memorable FFA Experience: While we were at our officer retreat, Kaitlin stepped on one
of the bottom bunks and it broke and she kind of fell through and scared everyone in the room.
Hobbies: Reading and writing short stories
Life Goal: To make a difference in at least one person’s life
Natalie Gabler
Officer Position: Historian
Parents: Steve and Sylvia Gabler
Grade in School: 12th
Number of Years as an FFA Member: 4
Favorite FFA Activity: Dairy Cattle Judging
Most Memorable FFA Experience: State FFA Convention in Corpus Christi
Hobbies: Hanging out with family, playing with my dog
Life Goal: To become a distinguished Veterinarian and own a successful practice
6
Awards Program
The Schulenburg FFA Chapter has several award opportunities for members to
participate. Each spring, the Schulenburg FFA hosts an Awards Banquet to recognize
the achievements of FFA members. Members must complete an application and submit
it before the required deadline which will be announced in the spring semester.
Applications will be judged by an outside panel of Agricultural Science Teachers from
the District and Area Associations. The following awards will be awarded on the
chapter level:
1. STAR AWARDS
 Star Greenhand (First Year Member)
 Star Chapter Farmer
 Star Lone Star
2.
PROFICIENCY AWARDS
 Members will be awarded certificates based upon their Supervised Agricultural
Experience Program
3. OUTSTANDING FFA MEMBER
4. YOUNG FARMER LEADERSHIP AWARD
5. BLUE/GOLD AWARD
6. ELMO MEYER OUTSTANDING BREEDING AWARD
7. Member of the Month
**Students may apply for Proficiency awards, Lone Star FFA Degree, and Star Awards beyond the
chapter level based upon their completed record book for their FFA experience. Requirements for these
awards are located in the National FFA Manual and the Texas FFA Degree Selection Procedures. This
information is kept on file in the Agriscience teacher’s office. Please contact Ms. Hartman or Ms. Beasley
or Mr. Lux if you wish to apply for advanced awards or for further information.
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Scholarship Opportunities
1. Scholarship Opportunities through Texas FFA Association Scholarship Programs
Graduating seniors apply during the Spring Semester at the District Degree Check. Scholarship is based on
academic rank (must be in top 25% for Houston, top 50% for the others), SAT/ACT scores (minimum 950 on SAT,
minimum of 20 on ACT), and FFA activities. Students will interview at the Area Degree Check. Ten members from
the Area Association will advance to state interviews to compete for these awards.
 San Antonio Livestock Show
$16,000 (13 offered)
 Star of Texas Livestock Show
$15,000 (1 offered)
 Houston Livestock Show
$15,000 (70 offered)
o You do not have to be an Agricultural or Life Science Major to receive this scholarship.
 Dick Wallrath Scholarship
$10,000 (71 offered)
o You do not have to be an Agricultural or Life Science Major to receive this scholarship.
 Jim Bob Norman Memorial
$10,000 (2 offered)
 C.J. “Red” Davidson
$8,000 (2 offered)
 Southwestern Exposition
$4,000 (2 offered)
 Farm Credit Bank of Texas
$2,000 (4 offered)
 Texas Agricultural Education Fund
$2,000 (1 offered)
 Young Farmers of Texas
$2,000 (1 offered)
2. National FFA Scholarships
Graduating seniors apply for various scholarships. Students may obtain an application from www.ffa.org ,
the National FFA website. Eligibility requirements and award amounts are listed as well.
3. State Fair of Texas Scholarship
Graduating seniors must complete an application and submit it prior to deadline. More information can
be obtained at www.bigtex.com.
4. Agriscience Fair Competition
The Agriscience Fair offers the opportunity for members to demonstrate their Agriscience abilities
through a science fair competition. Scholarships are awarded on the state and national levels.
5. Proficiency, Star Awards and Work Based Learning
Students can obtain various scholarships through participation in advanced awards. Students who win on
the state and national levels will receive scholarships.
6. Career Development Events
Students can win various scholarships at various contests if they win high individual honors. Additionally,
colleges scout judging team members and offer those students with exceptional abilities scholarships to
judge at their universities or colleges, respectively.
7. Schulenburg FFA
Graduating senior members of the FFA chapter can apply for the local chapter scholarships to help defray
expenses of higher education.
8. Schulenburg Jr. Livestock Show
Graduating seniors that have participated in the Livestock show are eligible to apply for these
scholarships.
9. Schulenburg Young Farmers
Graduating seniors can apply for this local scholarship to help defray expenses of higher education.
The 2010 Graduating Schulenburg FFA members were awarded over $35,500 in FFA related scholarships.
*** Other scholarship opportunities will be announced during class
and at FFA meetings as they become available. ***
8
Competitive Team Activities
Leadership Development Teams – Fall Semester
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Jr. Chapter Conducting
Sr. Chapter Conducting
Jr. FFA Skills Demonstration
Sr. FFA Skills Demonstration
Jr. FFA Quiz Team
Sr. FFA Quiz Team
Sr. Creed Speaking
Jr. Creed Speaking
Agricultural Issues Forum
Radio Broadcasting Team
FFA Public Relations
Job Interview
Career Development Teams – Spring Semester
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Soil and Water Stewardship Speaking
Extemporaneous Speaking
Jr. Prepared Public Speaking
Sr. Prepared Public Speaking
Wildlife
Land Evaluation
Livestock Judging
Horse Evaluation
Dairy Cattle Judging
Floriculture
Nursery Landscape
Farm Business Management
Poultry Judging
Ag Sales
Agricultural Communications
9
LEADERSHIP ACTIVITIES
The following activities are offered to all members in the Schulenburg FFA. Some
activities may have prerequisites based upon leadership achievements.
Fall Semester
 Texas Leadership Conference
 Area III Greenhand Leadership Camp
 District IV FFA Meeting
 State Fair of Texas
 Fayette County Fair
 National FFA Convention
 Leadership Development Events
Spring Semester
 Elite Conference
 Career Development Events
 Fort Worth Livestock Exposition
 San Antonio Livestock Exposition
 Houston Livestock Show and Rodeo
 Star Of Texas Livestock Show and Rodeo
 Schulenburg Jr. Livestock Show
 District IV Convention
 Area III Convention
Summer Break
 State Leadership Conference for Area and State Officers
 Area III Leadership Conference for District Officers
 District IV Leadership Camp for Chapter Officers
 State FFA Convention
 Washington Leadership Conference
10
When you look good...
The FFA Looks Great!
FFA Code of Ethics
We will conduct ourselves at all times in order to be a credit to our organization, chapter,
school and community by:
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Dressing neatly and appropriately for the occasion
Showing respect for others and being courteous at all times
Being honest and not taking unfair advantage of others
Respecting the property of others
Refraining from boisterous talk, swearing and other unbecoming conduct
Demonstrating good sportsmanship
Attending meetings promptly
Taking pride in our organization and its functions
Sharing with others experiences and knowledge by attending state and national meetings
Official Dress
The uniform worn by FFA members at local, district, area, state, and national functions is called
official dress. It provides identity and a distinctive, recognizable image to the organization.
Female members should wear:
Black skirt – hem should be between knee and calf
White collared blouse
Official FFA scarf
Black nylon hosiery
Black dress shoes – closed toe and closed heel
Official FFA Jacket – zipped to top
Male members should wear:
Black pants or slacks
White collared shirt
Official FFA tie
Black socks
Black shoes (low top dress shoes)
Official FFA Jacket – zipped to top
CDE Dress for contests
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Buttoned down or Polo type collared shirt
Nice Jeans or Slacks that fit at the waist and are free of fading or holes.
Closed toe shoes are required
Appropriate caps or hats for the contest
Official Dress for Livestock Shows
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Buttoned down or polo type collared shirt
Nice Jeans that fit at the waist and are free of fading or holes.
Closed toe shoes are required – NO Tennis Shoes.
Belt should be worn
No caps or hats
 Hair should be pulled away from face and look orderly.
In addition to the previous guidelines, the Schulenburg ISD Student Dress Code is in effect at all FFA activities and
competitions. If it is inappropriate to wear to school, it is inappropriate to wear to an FFA activity.
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Agricultural Science & Technology
Course Offerings
Schulenburg High School
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Principles of Agriculture
Agricultural Mechanics
Blinn Welding
Wildlife Management
Livestock Production
Advanced Animal Science
Food Technology
Professional Communications
Problems and Solutions (Yearbook)
Floral Design
Horticulture
Diversified Career Preparations
* All Agricultural Mechanics students must provide materials for personal projects.
12
FFA FUNDRAISING
ACTIVITIES
The FFA provides many activities throughout the year that require money. The entry
fees for contests, community service projects, the food and refreshments at meetings, animal
projects assistance, and supplies for the banquet require a large sum of money. You are asked
to participate in whatever fundraising activity that we have. The more money that our group
makes, the more activities we can provide to you. Each family is asked to have the first member
of the family sell 25 items and 10 for each additional family member.
This year, as in the past, we are selling nutritional food products. We will be offering
DJ’s meat items and Seitz’s fruit. These products will be delivered in time for Thanksgiving and
Christmas orders. We will also be selling cheese items as well this year. These products are
also great for selling to large businesses and families for Christmas presents.
In addition, you must sell at least 25 items to be eligible to go on the end of the year
trip. Students are also reimbursed $.50 per items sold to help defray the cost of gas for the
delivery of the items sold. This year the top selling individual and the top selling family will
receive $.75 per item sold.
The FFA will also be in charge of the concession stands for all home football
games. We encourage everyone to come and help out at the concession stands. The FFA will
also host its annual BBQ chicken dinner in January.
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FFA Member Participation
Every FFA member should take advantage of the variety of activities that the FFA has to
offer. We will recognize those members of the FFA who have actively participated in the many
activities offered. Each different activity that an FFA member participates has an hour value.
This system will also be used to determine what members can qualify to participate in the
Schulenburg Livestock Show and to attend Area and State FFA Conventions. It will also be used
to help select the various star awards. Twenty-five hours are required to participate in the Stock
show and attend the State and Area FFA Conventions. Members reaching the 25 hour mark will
be rewarded with an end of the year trip. Sign in sheets will be at each activity held, please
make sure you sign your name on the sheet to receive credit.
Activities:
 Chapter Meetings
 Fundraisers (Concession Stands, Meat/Fruit/Cheese Sales, BBQ Chicken Dinner)
 District FFA meetings
 Area Convention
 LDE’s-District, Area and State
 Local FFA activities
 CDE’s
 Exhibiting Animals at Major Livestock Shows (Fayette County Fair, State Fair, Fort Worth,
San Antonio, Houston, Schulenburg Jr. Livestock Show, and Star of Texas)
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Schulenburg FFA Hours Program
The students of the Schulenburg FFA Chapter work each year to earn a spot on the San Antonio Spurs Night Trip.
Members can earn a spot on the trip through their activities during the year. The Top 15 members in hours earn a
spot on a trip in May. Members must have earned a total of at least 25 hours in order to be eligible for the end of
the year trip. The only cost to the member is for food and souvenirs. Below you will find our hour verification
sheets that are due at the February Meeting.
How to Earn Hours:
To be eligible to show in the Schulenburg Jr. Livestock Show, members must earn 25 hours by participating in FFA
Activities. Below is a list of activities. Not all activities are listed on this page. Feel free to add approved activities
in the blanks.
Concession Stand – Members must work a minimum of 12 hours (This year we will have 5 Friday Football
Games and 5 Thursday JV/JH Football Games. The concession stand will open earlier on Friday nights to
accommodate Volleyball patrons.)
Concession Stand (must have 12)
Other Activities (13 hours)
Houston Livestock Show
San Antonio Livestock Show
District Officer Elections
District Degree Check
Area III Convention
Washing Leadership Conference
District Officer Camp
Officer Retreat
State Convention
FFA Meetings (attend 6)
Area Greenhand Camp
Leadership Development Events
Career Development Events
Career Development Events (Area/State)
District IV Greenhand Meeting
District IV Banquet
Food Drive
Pre-Shows
BBQ Chicken Dinner
Fruit/Meat/Cheese Sales
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__________2 hours/activity
__________2 hours/activity
__________1 hour
__________1 hour
__________2 hours
__________5 hours
__________2 hours
__________2 hours
__________5 hours
__________1 hour/meeting
__________3 hours
__________2 hours/event
__________1 hour/event local level
__________2 hours/event
__________1 hour
__________1 hour
__________1 hour per $5 donated (85lbs)
__________1 hour/show
__________1 hour/15 tickets sold
__________1 hour/shift worked
__________3 hours
(25 items 1st member, 10 items/additional member)
Jackpot shows
__________1 hour
__________1 hour/show
Additional Activities
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Total Hours
__________
(Each additional 5 items)
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Schulenburg FFA History
Schulenburg FFA was charted October 22, 1930. Throughout the chapter’s history, members
have been competitive in all aspects of FFA. Schulenburg boasts several state, area and district
officers. Members today are continuing to follow in the footsteps of excellence that have lain
before them.
FFA Dues
Schulenburg ISD is participating in the Affiliation Fee program offered through National
FFA. This program pays the FFA dues for every student enrolled in an Ag Science Classroom in
grades 9-12. Jr. FFA is not involved in this program and will have dues of $15.00 per member.
FFA Jackets
FFA Jackets can be purchased for $60.00. This will include your jacket and a tie or scarf.
Orders will be placed on the 1st Friday each month throughout the year and the orders will then
be placed with the National FFA Supply Service. Please allow 4-6 weeks for delivery. All
members are encouraged to purchase an FFA Jacket.
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Overnight Trips
The opportunity to participate in the Schulenburg FFA is a privilege extended to SISD
students. Participation in the Schulenburg FFA places a student in a position of recognition and
often bestows the position of role model upon the member. Any student who elects to accept
the privilege of participating in the Schulenburg FFA must recognize that he/she is a
representative of the school and district, and will be held to a higher standard of conduct than
that applied to the general student body. This applies to school related and non-school related
activities. The member is subject to state law, school district policies, school rules and
regulations, the Schulenburg FFA Constitution and By-laws, and University Interscholastic
League (UIL) rules. Schulenburg ISD policy governs all trips taken by FFA members. Any student
found in violation of these policies will be disciplined accordingly.
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Students will follow directions given by Advisors, as well as adult chaperones.
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Students will conduct themselves in a proper manner at all times.
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Students will stay with the group at all times.
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Students will not leave the hotel or site of activity for any reason.
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Students will follow all curfew times. Lights out will be at the discretion of the advisors.
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Students must stay in the room assigned to them.
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Female students will not be allowed in rooms of male students. Male students will not
be allowed in rooms of female students.
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Students will wear official dress, except when notified by the Advisors. Schulenburg ISD
dress code is in effect at all times.
Violations to these guidelines will not be tolerated.
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AUGUST
9- Welcome Back to School
Meeting 7:00pm expo
center
27- Van Vleck (V) (PN)
30- SJLS Steer Tag In 5:00pm
SEPTEMBER
1-5 Fayette County Fair
1- Young Farmer Hay Show
Mtg.
3- St. Joe (V)
6- School Holiday
8- SJLS Board Mtg. 7:00pm
Expo
9- Officer Mtg.
9- Shiner (JV)
11- Livestock Show
Supporters
Lamb/Goat Show
9:00am Expo
11- Colorado Co. Fair
Livestock CDE
13- District IV Greenhand
Meeting - Columbus
Supporter Mtg. 6:30pm
Expo
20-24 Greenhand Week
23- Bloomington (JV)
28- Young Farmer Mtg.
7:30pm Expo
25 – Area III Greenhand Camp
30- Weimar (JH)
OCTOBER
1- Weimar (V)
2- Ft. Bend Co. Fair
Livestock
7- Officer Mtg.
7- East Bernard (JV)
9- Austin Co. Fair
11- Jr. FFA Mtg.
4:00pm Ag
FFA Mtg. 7:00pm Expo
Supporters Mtg.
6:30pm Expo
13- Jr. FFA Due Deadline
14- Danbury (JH)
15- Danbury (V)
(Homecoming)
20-23– National FFA Conv.
Indianapolis
21-Brazos ( JV)
26- Young Farmer Mtg.
7:00pm Expo
28- Tidehaven (JH)
29 - Tidehaven (V)
30 – FFA Open House
8- Jr. FFA Meeting 4:00pm
Ag Supporters Mtg.
6:30pm Expo
13- AggieFest
15- District IV LDE Blinn
Brenham
16- SJLS Swine, Lamb & Goat
Tag In till 7pm
20- Area III LDE Blinn
Brenham
24- Young Farmer Meeting
7:30pm Sale Barn
25-Thanksgiving
FFA Mtg. 7:00pm Expo
Supporter Mtg.
6:30pm Expo
14-16 – Young Farmer
Convention (Odessa)
12- Stock show Board Mtg
7:00pm Expo
22- Pre Show (Swine, Lamb,
Goat, Heifer, Steer)
25- Young Farmer Mtg.
7:00pm Expo
30- BBQ Dinner
DECEMBER
FEBRUARY
3-4 STATE LDE
9- Officer Mtg.
13- Jr. FFA mtg. 4:00pm
Ag
FFA Mtg. 7:00pm Expo
Supporter Mtg. 6:30pm
Expo
25- Christmas
3-20- San Antonio
Livestock Expo
3- Officer Meeting
9- Stock Show Board Mtg.
Expo Center
7:00pm
14- Jr. FFA Mtg. 7:00pm
Expo
FFA Meeting 7:00 Expo
Stock show Supporter
Mtg. 6:30 Expo
22-YF Meeting
25-26 Schulenburg Jr.
Livestock Show
JANUARY
6- Officer Mtg
7- Elite Conference and Mid
Winter Conference
Brenham
10- Jr. FFA Mtg.
4:00pm Ag
NOVEMBER
4- Boling (JV)
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MARCH
2-20 Houston Livestock Show
3- Officer Mtg
14- Stock Show Supporter
Mtg. 6:30 pm Expo
Jr. FFA Mtg 4:00pm AG
FFA Mtg. 7:00pm Expo
9- Stock Show Board
Meeting Expo
Center 7:00pm
16-18 Spring Break
22- YF Meeting
23- McClennon CDE
24- Tarleton CDE
25- SWT Invite. CDE
26- TAMU CDE Clinic/ Area
III Horse
28- District IV Officer
Elections/ Banquet
Royal
APRIL
5-West of the Brazos Land
& Wildlife CDE
6- Area III Dairy @Tarleton
9- Area III CDE @A&M
11- FFA Meeting 7:30
Jr. FFA Meeting 4:30
Stock Show
Supporters
12- Region III Wildlife CDE
18- District IV Degree Check
Brenham
21- Teacher Breakfast
22- Tarleton State CDE
23- SHSU State CDE
26- Officer Mtg
27- Chapter Officer
Interviews
27- YF Meeting
27-30 TAKS
30- All Stock Show Record
Books Due
JULY
11-15 State Convention
Lubbock, Texas
11- Stock Show Supporter
Mtg. 6:30 pm Expo
Center
13- Stock Show Board Mtg.
7:00pm Expo
Center
MAY
2- FFA Banquet
5- Area III Speaking Events
Brenham
6- Area III Convention
7 – State CDE @ TAMU
10- State Wildlife CDE
San Angelo
27- Last Day of School
28- Graduation
JUNE
5-Stock Show Supporters
Expo 6:30 pm
8-10- State Degree Check
17-18 - Area III Camp
20- YF Meeting
24-25- District Camp
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Forms
The following pages contain forms that need to be returned to the agriscience
teachers. If you are going to participate in any FFA activity, we must have the
permission slip and emergency information. We also need the website permission form
so we may include you picture on the FFA website which is located under the
Schulenburg Independent School District website. Finally, the Acknowledgement form
indicating you have received the handbook needs to be completed and returned to your
Agriscience teacher by
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SCHULENBURG FFA / AGRISCIENCE DEPARTMENT PARENT TRAVEL
PERMISSION FORM
FACULTY SPONSORS: SHAYE BEASLEY, AMY HARTMAN, BRAD LUX
STUDENT: ______________________________________
GRADE LEVEL: __________
PARENTS’ NAME___________________________________________________________
The above named student has my consent to travel to and/or from each event participated in by this
organization during this school year including all errands and activities related to duties and assignments
made to members enrolled in the FFA / AGRISCIENCE CLASS. The mode of transportation will be
Schulenburg ISD provided transportation.
1.
All students must abide by state, district and campus policies at all AGRISCIENCE/FFA sponsored
events, whether held during normal school hours, after school hours, or on weekends and
holidays.
2.
I understand that students who violate said policies will be subject to disciplinary consequences
in accordance with the STUDENT CODE OF CONDUCT, including possible removal from future
participation in FFA events.
3.
I understand that infractions to any of these said policies which include theft, vandalism, and
possession of illegal substances will result in notification of parent/guardian and my child being
returned to school at the parent’s expense with no reimbursement of funds.
4.
I agree to, and hereby, release Schulenburg Independent School District and its trustees,
employees, sponsors and volunteers from all legal responsibility from liability resulting from any
activities of this organization, including liability caused by or related to the negligence of any such
party.
5.
I agree or do not agree (please circle one) to allow my child to swim at any events that swimming
opportunities available.
This form must be signed and returned to the sponsor before the student will be permitted to
participate in any activities of this organization. This Schulenburg FFA & Agricultural Science
Department Handbook has been published to help your son/daughter gain the greatest possible
benefit from his/her agricultural science/FFA experience. The FFA needs your cooperation. It is
very important that each FFA member understands the opportunities and regulations outlined in
this handbook. Parents are to encourage their son/daughter to abide by all rules or regulations
set forth in this handbook. Please go over all agreements outlined in this handbook and return
them to your Agriscience teacher. Your signature and that of your child acknowledge the receipt
of this FFA Member Handbook and the agreement to take full advantage of all the opportunities
that are available to members.
__________________________________________
Signature of Student
____________________
Date
__________________________________________
Signature of Student
___________________
Date
Date Received______________________________
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Schulenburg FFA
Emergency Information
This form must be completed by the parent/guardian of each member. This form is required of
all students in an Ag Science Class. This form must be updated yearly or in the event that any of
the information should change. WITHOUT THIS COMPLETED FORM, YOUR CHILD MAY
NOT PARTICIPATE IN THE FFA ACTIVITIES.
STUDENT’S NAME_____________________________________________ GRADE______
DATE OF BIRTH_____________________
T-Shirt Size: _________
PARENT OR GUARDIAN’S
NAME________________________________________________________________________
HOME ADDRESS_________________________________ CITY_________________________
ZIP____________
TELEPHONE #__________________ PARENTS HOME # (IFDIFFERENT) ___________________
MOM’S WORK #_____________________ DAD’S WORK#_______________________________
Parent’s Email Address____________________________________________________________
INSURANCE CARRIER____________________________________ _____________________
PHONE #_____________________________________________________________________
NAME OF INSURED____________________________________________________________
ID NUMBER___________________________________________________________________
GROUP #_____________________________________________________________________
PLAN #_______________________________________________________________________
Name and phone number of relative or friend who can be contacted in case of emergency when
Parent/guardian is unavailable.
NAME_________________________________________ PHONE #_____________________
RELATION__________________
NAME_________________________________________ PHONE #_____________________
RELATION__________________
FAMILY DOCTOR_______________________________PHONE#______________________
DENTIST_______________________________________PHONE#______________________
IF, IN THE JUDGEMENT OF ANY REPRESENTATIVE OF THE SCHOOL, THE AVOVE STUDENT
NEEDS IMMEDIATE CARE AND TREATMENT AS A RESULT OF ANY INJURY OR ILLNESS, I DO
HEREBY REQUEST, AUTHORIZE, AND CONSENT SUCH CARE AND TREATMENT AS MAY BE
GIVEN SAID STUDENT BY ANY MEDICALLY QUALIFIED REPRESENTATIVE. I DO HEREBY, AGREE,
TO INDEMIFY AND SAVE HARMLESS THE SCHOOL AND ANY SCHOOL REPRESENTATIVE FROM
ANY CLAIM BY ANY SUCH PERSON OF SUCH CARE AND TREATMENT OF SAID STUDENT.
___________________________________
STUDENT’S SIGNATURE DATE
__________________________________
PARENT/GUARDIAN’S SIGNATURE DATE
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