2017 State FFA Officer - Pre-Chapter Visit Information

Thank you for taking the time to fill this out. This helps to make my service to your chapter more effective. I am looking forward to working with you this year!

I will be contacting you one week before and the day before your visit to confirm all details.

School: ______Columbus______

Date of Visit: ______Arrival Time: __7:30am______

_____X_____ Full Day Visit ______Part Day Visit Circle: AM or PM

Advisor Completing Form: ___Glenda Crook______

Is it ok for me to contact you at home or by cell phone if I cannot reach you at school?

____X__Yes, it's ok _____ No, I would prefer if would not call me at home or on my cell phone.

Best time to reach you: ___7 a.m. or at noon. Evenings between 5 and 6 p.m.______

Advisor Cell Phone Number: ____608-516-0492______

Advisor Home Phone Number: __Same as cell #______

School Street Address for my GPS:___1164 Farnham Street, Columbus, WI 53925______

What door should I enter when I arrive at your school? _Entrance 2- School parking lot and you’ll have to sign in at the office.

Where will I park my vehicle?____School parking lot- visitor parking- that says Staff parking on it. Right in front to the right of the entrance.______

May I meet with your chapter officers? X YES NO

What time would we meet? Lunch- we will feed you!

What classes/grade levels will I present to? Please provide a class schedule including class times, number of students and name of class. If needed you can include this on a separate page.

Grades 6-12. The morning starting at 7:50 a.m. will be at the high school grades 9-12 combined classes blocks 1 Food Science and 2 Ag Careers and Leadership. Lunch is at about 11 a.m. The afternoon will be 6th grade at 12:20 and a 7th and 8th grade combined class to finish the day. Finish at 3 p.m.

Are there any specific areas/topics you would like for me to cover?

Leadership skills, opportunities in the FFA, and being a good role model.

What type of presentation(s) would you like?

_____X___ Regular Classroom/Workshop Presentation ______Assembly for FFA members only

______Assembly for all Ag Education Students ______All-School Assembly

____X____ Meeting with chapter officer team

Please circle - Before school After school X Lunch Class Period

______Other – Please describe what type of presentation you would like:

Do you have any students enrolled in more than one class? If so, how many times will I need to make adjustments in my presentation for these students? Not at this time.

Do you have any special needs students that I need to be aware of so that they can also participate in my presentations? I have one student with down syndrome in the Ag Careers and Leadership class.

What are your class and SAE requirements to be an FFA member in your chapter?

All students have an SAE project.

Are there any additional people you would like me to visit with? Please circle.

Superintendent X Principal Counselor Alumni Media Other (please specify)

Will you be providing lunch for me at your school? X Yes No

If No…..what would you recommend for a lunch break?

Chapter FFA Banquet Information

Would you like me to attend your FFA banquet? __X______Yes ______No, thank you.

Time and Date of Banquet: __March 20, 2017 7 p.m.______

Other Information

Are there any additional events you would like for me to attend?

(meetings, fun activities, workshops, parent's night, etc.) Please list with the date below.

September 8, 2017- Middle School Assembly- 1-3 p.m. If you can we would like you to help promote FFA to the middle school 7th and 8th grade students.