Individual Courtesy Corps Application

This form is for applying for Courtesy Corps membership as an individual (one form for each individual). Please fill out all individual membership information and answer questions.

Submission Due Date: May 17 at 11:59 P.M.

Fields marked * are required.

Chapter: *
Name: *
Email: *
Phone Number: *
Address: *
City: *
Zip: *
Chapter Information
Address: *
City: *
Zip: *
Advisor Phone Number: *
General Questions
Prior Convention Attendance: *
Yes   No  
Will you be able to attend the State FFA Convention in Madison this June?: *
Yes   No  
Being a courtesy corps member requires dedicated work during the convention. Are you willing to serve and represent the state association in your assigned courtesy corps responsibilities?: *
Yes   No  
If selected as a courtesy corps member to the State FFA Convention, you will be required to fulfill your assigned duties. Are you willing to make the commitment and help enforce the guidelines of the Wisconsin FFA Association and the State FFA Convention?: *
Yes   No  
Are you willing to accept this responsibility and cooperate as a part of the Wisconsin state team to run an effective and organized convention?: *
Yes   No  
What day and time would you be available to assist at the State FFA Convention? (Please check those times you wish to participate; however, the Wisconsin FFA Sentinel and Staff will make the final assignments.): *
Tuesday Morning   Tuesday Afternoon   Tuesday Evening   Wednesday Morning   Wednesday Afternoon   Wednesday Evening   Thursday Morning  
Are there any preferred assignments that you would like to help with?:: *
What can you contribute as a Wisconsin State FFA Convention Courtesy Corps member?: *
Certification Signature:
By checking this box, you certify that all information is correct.