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2023-2024 Dakota/Rice County 4-H Agriculture Education Leader Application - year 2+
4-H members who are in 6th grade and above in the 2023-24 school year may apply.
Applications accepted now until November 18.
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* Indicates required question
Email
*
Your email
Name (first and last)
*
Your answer
Name(s) of parent/guardian(s)
*
Your answer
Parent/additional email address
*
Your answer
2023-24 Grade
*
Your answer
Shirt size
*
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Home address (including city, state and zip code)
*
Your answer
Preferred phone number (cell, home, parent/guardian number)
*
Your answer
Cell phone company (Ex - Verizon, T-Mobile, etc.)
Your answer
Do you have access to Facebook?
*
Yes
No
Maybe
My preferred methods of communication are:
Email
Text
Facebook group
Other
Number of years in 4-H
*
Your answer
County
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Dakota
Rice
What excites you about the Ag Ed Rep program?
*
Your answer
How can the Ag Ed Rep program be strengthened?
*
Your answer
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