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About Cooperatives
About
Board of Directors
Our Team
>
About OACC
Development
Board Development
>
OCDE
Director Summit
Keystone
CEO & Board Retreat
5 Dysfunctions of a Team
Staff Development
>
Agribusiness Leadership Academy
Franklin Covey Training
Lunch & Learn
Business Development
>
Performance Evaluations
Strategic Planning Sessions
Talent Recruitment
PXT Select
Everything DiSC
MBTI
Government Affairs
Take Action
Events & News
Calendar
Upcoming Events
News
Blog
Careers
Job Bank
Internship
Contact Us
Agribusiness Leadership Academy Application
Please fill out the information below to submit your application. Program dates are as follows:
Session I – March 1-3, 2023
Session II – April 4-5, 2023
Session III – May 9-10, 2023
Session IV – August 8-9, 2023
Session V – November 14, 2023
Application Information
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Current Employer
*
Who are you currently employed by?
Job Title
*
What is your current job title?
Years Employed
*
How many years have you been employed with your current employer?
Sponsoring Cooperative
Sponsoring Cooperative
*
What cooperative is sponsoring you through the ALA program?
Sponsoring General Manager
*
First
Last
Name of the General Manager sponsoring you?
Sponsoring Cooperative Address
*
Line 1
Line 2
City
State
Zip Code
Country
Cooperative Address
Sponsoring Cooperative Phone Number
*
Sponsoring General Manager Email Address
*
Education
High School
*
What High School did you attend?
Years attended (i.e. 2005-2009)
*
Did you graduate?
*
Yes
No
College Attended
*
Years Attended (i.e. 2005-2009)
*
Did you graduate?
*
Yes
No
Degree Program
*
College Attended
*
Years attended (i.e 2005-2009)
*
Did you graduate?
*
Yes
No
Degree Program
*
Previous
Employment
Company
*
Supervisor
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Job Title
*
Responsibilities
*
Dates Employed (i.e. May 2005 - Dec. 2009)
*
Reason for Leaving
*
May we contact your supervisor for reference?
*
Yes
No
References
Name
*
First
Last
Relationship
*
Email
*
Phone Number
*
Name
*
First
Last
Relationship
*
Email
*
Phone Number
*
Name
*
First
Last
Relationship
*
Email
*
Phone Number
*
I certify that my answers are true and complete to the best of my knowledge. If this application leads to the the acceptance into ALA, I understand that false or misleading information may result in release from the program.
*
Yes
No
I acknowledge that I have tentatively added the session dates to my calendar, I that I do not have a conflict. I also understand that attending every session is required not only because of the investment my sponsoring cooperative has made, but the investment that I am making in myself. I further agree that I will attend every session as required and will engage in the content. I also understand that these dates are for the required classroom instruction and that there will be other sessions I am expected to attend, either in person or via an electronic platform, as scheduling accommodates the participants of Class VI.
*
Yes
No
By typing my name I am agreeing that the above is true and I have reviewed the dates and am submitting my application to ALA.
*
Date Signed
*
I agree to receiving marketing and promotional materials
*
Submit