NJSA New Attendee Pork Checkoff Travel Scholarship for the 2016 National Youth Leadership Conference Application Name ________________________________________________________________________ Birthdate ___________________________________________ Age _____________________ Address_______________________________________________________________________ City ____________________________________ State ____________ Zip ______________ Home Telephone Number ________________________________________________________ Requirements: 1. Must be first time attending the NYLC 2. Must utilize money to travel to NYLC in 2016. 3. Must be 14-21 years of age. 4. Must be an NJSA member. Details: 1. (10) $200 travel scholarships will be awarded. 2. Return you scholarship application, by March 16, 2015 to: kaley@nationalswine.com or to: National Swine Registry Attn: Kaley Bontrager, Director of Junior Activities 2639 Yeager Rd. West Lafayette, IN 47906 No late applications will be accepted! 3. For more information, contact Kaley Bontrager at 765-463-3594 ext. 109 or at kaley@nationalswine.com 1) Describe your involvement in the National Junior Swine Association. 2) What is the Pork Checkoff? 3) How have the life skills you have gained from NJSA and/or the swine industry shaped your life? 4) Why do you want to attend the NJSA National Youth Leadership Conference? Sponsored by: