INDUSTRY REPRESENTATIVE APPLICATION

South Dakota Soybean Association Board of Directors

Name Spouse

Job Title Company

Address

City State Zip

Home Phone Cell Phone Email Date of Birth

Education & Special Training

Describe the company you will be representing:

Do you farm? If yes, what crops? ________________________

List any organizations you belong to and offices held:

Why are you interested in serving on the Board of Directors as an Industry Representative for the South Dakota Soybean Association?


As a leader and spokesperson for the soybean industry and agriculture in general, what are the top issues you feel need attention?


Additional Comments:

I am willing to devote my time to serve as an Industry Representative of the South Dakota Soybean Association Board.

Signature Date

Return to: South Dakota Soybean Association

5000 S. Broadband Lane, Suite 100

Sioux Falls, SD 57108

Email:

Fax: 605-330-9956