New Leader Academy Application Name First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Enter Email Confirm Email Job Title & Organization(Required) Were you referred to the New Leader Academy?(Required) Yes No If yes, by whom? Please describe your involvement with agriculture. If you currently have a farming operation, describe that here.(Required)Please describe involvement (past or current) with Farmers Union, community organizations, groups or businesses.(Required)Do you have any additional interests in a particular area of agriculture?Have you been involved in any farm or agricultural organizations other than Farmers Union?Describe your education background and any special trainings related to agriculture that you may have completed.(Required)What do you consider to be the top issues in agriculture today?(Required)What would you like to gain personally and professionally from participation in the New Leader Academy?(Required)What type of leadership role do you envision for yourself in Farmers Union?(Required)To ensure a successful program for myself and my classmates, I agree to the following:(Required) I will attend and participate in all Leadership sessions. I will purchase a three year membership with MFU before the introductory zoom session (held in late January/early February) Spouses/partners not a part of the New Leader Academy will be responsible for their own costs if they wish to participate in any of the sessions. All lodging arrangements will be made through MFU. If for some reason, you need to change your reservation you must contact MFU by a set cut-off date or you will be responsible for the cost of the room. Airfare arrangements for the Washington, DC trip will be made by MFU, after consultation with you on your preferred dates and times. Once the ticket(s) is booked, if there is a change to your plans, you will be responsible for any change fees and/or cost of the ticket if canceled. Select AllDigital signature (full name) and date(Required) Δ
