Student Information

Thank you for your interest in the pilot Western Region Certified Crop Adviser (WR CCA) Student Exam on Saturday, April 6th at Fresno State! Please complete all the information below to APPLY for one of the 30 slots available. * Applications will be processed as received. A registration confirmation will be sent separately to the first 30 students with a payment link for the $50.00 test fee to the email address provided.*  If you miss the 30 student cutoff, you will received details regarding the waitlist.  There are no additional subsidies or scholarships available to cover the $50 registration.

Question Title

* 1. I would like to take the following CCA exam(s):

Question Title

* 2. First Name:

Question Title

* 3. Middle Initial

Question Title

* 4. Last Name:

Question Title

* 5. Contact

Question Title

* 6. Contact Address is my:

Question Title

* 7. Gender:

Question Title

* 8. Current College Information

Question Title

* 9. Please indicate how many years of work experience you have currently in Agriculture.

Question Title

* 10. Please indicate your age

Question Title

* 11. If employed in the Ag Industry, which employment sector do you work in:

Question Title

* 12. Please indicate your highest degree earned to date

Question Title

* 13. Information on highest degree held

T