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GOLD Conference 2019 Application
You must be a high school senior or college freshman to attend Gold Conference.
Application Tip - This application WILL NOT save. You must complete ALL questions before closing or your work will be deleted.
Read the instructions for each essay before writing. We recommend that you complete your essays in a word processor such as Microsoft Word so that you can save your work. "Copy" and “Paste” your essay into the appropriate essay text box ONLY when you are ready to submit your application.
Acknowledgement of application procedure:
I have read these instructions and am willingly proceeding with this application knowing that my work CANNOT be saved prior to submission.
DISTRICT OF COLUMBIA
FEDERATED STATES OF MICRONESIA
NORTHERN MARIANA ISLANDS
U.S. MINOR OUTLYING ISLANDS
ARMED FORCES AMERICAS
ARMED FORCES PACIFIC
NEWFOUNDLAND AND LABRADOR
PRINCE EDWARD ISLAND
What is the best way to contact you?
Age (as of Dec 15, 2017)
Year in School
Please list your FFA activities you have been involved with. (offices, conferences, contests, etc.)
What do you feel you will gain from attending the Conference?
How did you hear about the Conference?
I, the undersigned parent/guardian give permission for my child to participate in the Montana FFA GOLD Conference held January 6-8 2017 in Bozeman, MT. I understand that by signing this form I 1) give authorization to the conference staff and/or any conference-selected medical personnel to treat my child in case of an emergency; 2) and that every effort will be made to contact me in case of an emergency; 3) that Montana FFA Association will provide some insurance while my child is at camp in addition to insurance that I/we have; 4) that I/we will be responsible for any transportation if my child needs to be removed from camp because he/she is disruptive, or has at any time in their possession tobacco, alcohol, or drug products or paraphernalia or behaves in such a manner unbecoming to the Montana FFA Association, 5) and that my signing of this form releases the Montana FFA Association and conference leaders from any liability in case of an injury or accident.
Participant: By typing your name below, you are certifying that all the information entered above is to the best of your knowledge and you are signing the release form above.
Parent: by typing your name below, you are certifying that all the information entered above is to the best of your knowledge and you and you are signing the release form above.
Please list any food or medicine allergies you have.
Please list any current medications you are taking and for what reason.
Please state the date of your last tetanus shot.
Please list any special dietary needs.
Please list any other special information the staff would need to know for your safety.
Montana FFA GOLD Conference Survey Participation Consent. You will be asked to complete a survey about your experience at GOLD Conference upon conclusion of the conference. This survey is being conducted by the Montana FFA Foundation. The objective of this survey is to receive direct feedback from conference participants on what they found useful during their experience at GOLD Conference and how to improve it. The survey is being given to all participants of the conference.There are no risks of participating in the survey, nor are there any costs for participating in the study. The information you provide will help the Montana FFA Foundation and its sponsors to review the GOLD Conference and makes improvements accordingly. The information collected will benefit future members who participate in this conference, further strengthening leadership opportunities offered within Montana FFA. This survey will be anonymous. If you choose to participate, do not write your name on the questionnaire. No one will be able to identify you, nor will anyone know whether you participated in this study. Nothing you say on the questionnaire will in any way influence your present or future affiliation with the Montana FFA. If you have any questions or concerns about completing the survey, you may contact Gwynn Simeniuk at 406.724.7040 or firstname.lastname@example.org.
Participant: By typing your name below, you are indicating your willingness to participate in this survey.
Parent: By typing your name below, you are indicating your consent for your child to participate in this survey.
$40/ Conference - until December 20
$20/ Cancellation Refund
$5/ Late Fee - after December 20
Please bring your payment with you to the Conference. Cash and checks are accepted. Make checks payable to: Montana FFA Foundation
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