2013 USDA AgAmbassadors Program - Student Application

1. Student Application

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* 1. Location

Parlier, California

Edinburg, Texas

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* 2. Personal Information

Full Name:

Date of Birth:

Age:

Address:

City:

State:

ZIP Code:

Phone:

Cell:

Email:

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* 3. Academic Information

High School:

Major:

Unweighted GPA:

Weighted GPA:

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* 4. Parent/Guardian Information

Name:

Email Address:

Phone Number:

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* 5. Activities

Tell us about class offices, clubs, organizations, or activities outside of school in which you have been active. Please provide a brief description, your role, the organization, and time involved.

1. Activity:

2. Activity:

3. Activity:

4. Activity:

5. Activity:

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* 6. Honors and Awards

Please provide a brief description of honors and awards that you have received, the organization, date, and location.

1. Honor/Award:

2. Honor/Award:

3. Honor/Award:

4. Honor/Award:

5. Honor/Award:

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* 7. Work Experience

Please provide a brief description of your work experience, the organization, date, and location.

1. Employment:

2. Employment:

3. Employment:

4. Employment:

5. Employment:

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* 8. Special Skills

	Beginner	Intermediate	Advanced
Language	Language Beginner	Language Intermediate	Language Advanced
Computer	Computer Beginner	Computer Intermediate	Computer Advanced
Research	Research Beginner	Research Intermediate	Research Advanced

Specify foreign language and computer skills

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* 9. Essay
Submit a 250-500 word essay answering the following questions:
What is your personal motivation for applying to the USDA Agricultural Ambassadors Program?
What leadership role do you play in your school and or community?
What are your academic and career goals?
What skills can you bring to USDA?

Note: Please spell-check before submitting.

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* 1. Location

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* 2. Personal Information

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* 3. Academic Information

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* 4. Parent/Guardian Information

Question Title

* 5. ActivitiesTell us about class offices, clubs, organizations, or activities outside of school in which you have been active. Please provide a brief description, your role, the organization, and time involved.

Question Title

* 6. Honors and AwardsPlease provide a brief description of honors and awards that you have received, the organization, date, and location.

Question Title

* 7. Work ExperiencePlease provide a brief description of your work experience, the organization, date, and location.

Question Title

* 8. Special Skills

Question Title

* 5. Activities

Tell us about class offices, clubs, organizations, or activities outside of school in which you have been active. Please provide a brief description, your role, the organization, and time involved.

* 6. Honors and Awards

Please provide a brief description of honors and awards that you have received, the organization, date, and location.

* 7. Work Experience

Please provide a brief description of your work experience, the organization, date, and location.