2016-2017 St. Regis FFA Chapter Officer Application
 No late or incomplete applications will be accepted.
 Applicant MUST attend the official Chapter Officer Interview session
scheduled on Monday, April 11, 2016 at 4:00 P.M.
 You are required to give a 2 minute speech (max) at the April 11, 2016
FFA Chapter Meeting explaining why you believe you should be a
Chapter FFA Officer.
 It is recommended that the application be typed. This enables the
Nomination Committee to read the application with ease. If the
application is handwritten it should be written in pen (blue or black
ink).
Applications are due to Mrs. Nielsen no later than
Monday, April 11, 2016 at 3:30 P.M.
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2016-2017 St. Regis FFA Chapter Officer Application
Name
Year in Agriculture
Age ____________
1. Degree held at the present time: (example: State, Chapter, or Greenhand)
2. FFA Leadership Activities you have participated in:
3. Leadership/Participation in school and other activities:
4. List order of office preference: 1st - 7th (lists of duties can be found in the official FFA Manual)
____ President
____ Vice President
____ Reporter
____ Secretary
____ Treasurer
____ Sentinal
5. Give a detailed description of your Supervised Agriculture Experience Projects (SAEs)
for the last two years.
Present Year:
Last Year:
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2016-2017 St. Regis FFA Chapter Officer Application
6.
How much additional time are you willing to spend on learning and practicing
Parliamentary Procedure?
8. How much additional time are you willing to spend on planning & conducting chapter
meetings, activities, and fundraisers?
11. Number of FFA Chapter Meetings attended in the 2015-2016 school year
12. If elected into office, will you be available to attend the summer officer training
session scheduled on July 7-9, 2016. (please circle one)
YES
NO
14. What possible time-conflicts do you foresee in fulfilling your officer responsibilities?
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2016-2017 St. Regis FFA Chapter Officer Application
Please complete this survey as honestly as possible about yourself.
Circle the ten (10) characteristics that BEST describes you.
Deliberate
Forceful
Cooperative
Industrious
Domineering
Pleasant
Perfectionist
Mature
Leader
Doer
Possitive
thinker
Impulsive
Honest
Compassionate
Caring
Withdrawn
Outgoing
Intrinsically motivated
Intuitive
Task oriented
Creative
Follower
Argumentative
Assertive
Patient
Accepting
Wants own way
Interested in others
Sincere
Enthusiastic
Attentive
Respectful
Open to constructive
criticism
Delegates well
Responsible
Happy
Lazy
Respected by peers
Loner
Charismatic
Altruistic
Egotistical
Popular with Peers
Exuberant
Open-minded
Self-centered
Know-it-all
Devious
Quality Worker
Gives in easily
High Self-esteem
Works well
with others
Don’t care about own
way
Consensus
seeker
Doesn’t care about
getting own way
Takes direction
O.K.
Uncomfortable
critiquing
others
Works best with
others
Lets others do
the
decision making
Rarely takes
direction
Happiest when
own goals are
met
Work with
others for best
solution
Does most of
group’s work
Willing to be
helpful to
others
See only the good
in people
Happiest when
group goals are
met
Shares workload
evenly
Wants
constructive
critique
Expect others
to adjust to you
Workload
unimportant
Give partial effort to
jobs you may dislike
Works hard on
all tasks
Highly critical
of others
Persistent
Persuasive
Always in a
rush
Democratic
Takes
directions well
Will always adjust to
avoid conflict
Consistent
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2016-2017 St. Regis FFA Chapter Officer Application
Please carefully read the following requirements of being elected as a St Regis FFA Officer.
My name is
, and I wish to run for the Office of ___________________.
If I am elected to this office, I agree to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Maintain a grade point average (GPA) of 2.5 or better.
Attend all regular officer meetings called by the advisor and all of the FFA Chapter meetings.
Attend the nominating committee screening and interviews on April 7, 2016 at 3:30 P.M.
Wear my full, official uniform all day on the days of an official FFA meeting or function, unless
decided upon differently at an executive meeting.
Uphold and carry out the duties and responsibilities of my office as set forth by the chapter.
To attend Officer Leadership Camp on July 7-9, 2016 at Flathead Lake.
Memorize my part of the FFA opening and closing ceremony.
Have a genuine interest in being a productive and amiable part of a leadership team.
Take an active part in St Regis FFA chapter activities and fundraising.
Become familiar with parliamentary procedure and be able to lead by example.
Always remember that I am an official representative of the St Regis FFA and will conduct
myself and treat others with dignity and respect at all times.
Not under any circumstances will I initiate or be a part of the continuance of any situation or
argument that could lead to separation of the leadership team or my leadership role.
Always remember that I am part of a TEAM!
Have this application completed and returned to Advisor by April 6, 2016.
Obtain my parent or guardian’s consent signature on this form below.
Must be enrolled in an Agriculture Course during the year of office being served and remain in
that class for the entire year.
Make every effort to encourage my parents to become and active part in the St. Regis FFA
Chapter.
FORFEIT MY OFFICE, IF I NEGLECT OR FAIL TO ADHERE TO ANY OF THE CRITERIA
AS SET FORTH BY THE ST REGIS FFA CHAPTER.
Officer Candidate Signature
I HAVE READ AND UNDERSTAND THE REQUIREMENTS OF HOLDING AN FFA CHAPTER
OFFICE. I GIVE MY PERMISSION AND WILL ASSIST MY SON/DAUGHTER IN MEETING THESE
REQUIREMENTS AS SET FORTH BY THE ST REGIS FFA CHAPTER.
Parent/Guardian Signature
FFA Advisor Signature
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2016-2017 St. Regis FFA Chapter Officer Application
I, ______________________________ fully understand all of the officer duties
outlined in the National FFA Organization Official Manual for the office's I
have listed. I hereby agree to devote all time necessary for the completion of that
office. I am fully aware that if I do not fulfill my officer duties that I can be
removed from Chapter Office at anytime.
Applicant’s Signature
Date
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