New Attendee Travel Scholarship Form

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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:
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