Virginia FFA Visit Request Form 2017-2018
Chapter Name
*
School Name (If different from chapter name)
Chapter Number
*
Advisor Name
*
First Name
Last Name
Advisor E-mail
*
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number
*
-
Area Code
Phone Number
Please indicate the area your chapter is from
*
Appalachian
Blue Ridge
Central
Northern
Southeast
South Ridge
Select the type of visit/event you wish to have state officer(s) at
*
Chapter/Classroom Workshop
Banquet
Area/Federation Event
Other
Full address to the location of the visit/event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Requested date of visit (MM/DD/YY) **Please indicate if this is more than a one day visit/event. Example: 08/25/15-08/26/15**
*
Requested time of arrival for state officer(s) (Example: 9:30AM)
*
Visit/event start and end time (Example: 9:30AM-5:30PM)
*
Any special accommodations or needs for students?
Individual State Officer request(s)
*
President: Tess Seibel
Secretary: Mason Sowers
Vice President: Bailey Carpenter
Treasurer: Justin Petrie
Reporter: Melissa Ruhlman
Sentinel: Chris Kuhler
No Preference
Select a workshop topic you would like presented by a state officer(s), if applicable
Building Communities
Growing Leaders
Strengthening Agriculture
No Preference
Other
Please upload your class schedule below, if applicable
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