ALAApplication

Address *

Line 1

Line 2

City

State

Zip Code

Country

Current Employer *

Job Title *

Years Employed *

Sponsoring Cooperative *

Sponsoring General Manager *

First

Last

Sponsoring Cooperative Address *

Line 1

Line 2

City

State

Zip Code

Country

Sponsoring Cooperative Phone Number *

Sponsoring General Manager Email Address *

High School *

Years attended (i.e. 2005-2009) *

Did you graduate? *

Yes No

Years Attended (i.e. 2005-2009) *

Did you graduate? *

Yes No

Years attended (i.e 2005-2009) *

Did you graduate? *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dates Employed (i.e. May 2005 - Dec. 2009) *

Reason for Leaving *

May we contact your supervisor for reference? *

Yes No

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. *

Agribusiness Leadership Academy Application

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

Sponsoring Cooperative

Education

Previous Employment

References

Agribusiness Leadership Academy Application

Agribusiness Leadership Academy Application

Please fill out the information below to submit your application. Program dates are as follows:Session I – March 1-3, 2023Session II – April 4-5, 2023Session III – May 9-10, 2023Session IV – August 8-9, 2023Session V – November 14, 2023

Application Information

Sponsoring Cooperative

Education

Previous Employment

References

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