1. 2015
RETURN APPLICATION BY March 15
Kentucky FFA Alumni WASHINGTON LEADERSHIP CONFERENCE Scholarship
The Kentucky FFA Alumni Association provides one or more Washington Leadership
Conference full and/or partial Scholarships (maximum value $550).
Eligibility
1. FFA Chapters with an active FFA Alumni Chapter will be given priority.
2. Student must be an active FFA member.
3. Agricultural Education students who are in their 9th, 10th, or 11th grades of the
current school year are eligible. Current seniors are not eligible.
4. Only one application from a chapter should be submitted.
Deadline
Applications are due postmarked by March 15.
Return To: Kentucky FFA Alumni Association
c/o Kristie B. Guffey
111 FFA Camp Road
Hardinsburg, KY 40143-2529
Applicant's FFA Alumni Affiliate Number 16
APPLICATION
Name
(Last) (First) (Middle)
Address Phone
(Street/route) (City) (Zip Code) (A.C.) (No.)
FFA Chapter Birthday Age
(Mo/Day/Year)
Parents Name Home Phone
Address Business Phone
(Street/route) (City) (Zip Code)
Occupation of Father Mother
High School School Phone Grade In School
(current year)

2. List Current Supervised Agricultural Experience (SAE)
Enterprise/Job Title/Work Scope Hours Worked % Candidate Share
Brief statement of career plans after high school
Attach the Following:
1. Completed (up-to-date) official "Record of FFA Participation" activity card.
2. Brief narrative on "Why I want to further develop my leadership abilities."
(No More than 300 words)
Bind the material in an attractive folder. The margins should be sufficiently wide to permit
reading of material.
Signed
(Applicant)
Signed Date
(FFA Advisor) (Mo/Day/Year)