Leadership Academy Application

Please fill in the following form. (Name as it appears on your Driver’s License.)

  1. Full Name(*)
    You must type your full name
  2. Email Address(*)
    Please typa a valid email address
  3. Phone(*)
    Please provide your phone
  4. Address(*)
    Please type a valid address
  5. City(*)
    Please type your city
  6. State(*)
    Please type your state
  7. County(*)
    Please type your county
  8. Applicant biography (3-5 sentences written in third person)(*)
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  9. Briefly describe your connection to agriculture (e.g., crops, livestock, ag business)(*)
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  10. Describe your involvement with Farm Bureau(*)
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  11. Please list organizations and/or groups you have been a member of and your leadership role in each if applicable(*)
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  12. Why are you interested in participating in the NEFB Leadership Academy? What are your expectations and goals for the program?(*)
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  13. What is the most critical issue facing agriculture in the next 5 – 10 years?(*)
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  14. I have read the application and understand the qualifications to participate in the Nebraska Farm Bureau Leadership Academy. I understand that if chosen, I am expected to attend 3 of 4 state sessions, and that I may be removed from the program for failure to meet this expectation. I understand that if I am not selected for this year’s class, I can apply again for future classes.(*)
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    By checking this box, you agree to sign electronically and you have given us your consent to use the information provided.

We will ask county Farm Bureaus to complete a reference questionnaire for each applicant.

Return your application to:
Nebraska Farm Bureau
Attn: Audrey Schipporeit

P.O. Box 80299
Lincoln, NE 68501-0299
Phone: (800) 742-4016 Ext. 4446
(402) 421-4446

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Applications are due November 6.