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Home » Programs » SoyLeaders » Application

SoyLeader Application

Please provide the following information:

*Name:
Farm Name:
*Address 1:
Address 2:
*City:
*State:	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
*Zip Code:
*Phone:
Fax:
*E-mail:

*Acres of soybeans planted this year:

Other crops or livestock:

If selected, are you available to attend three meetings and seminars per year?

Yes   No

Although it's not required, do you enjoy public speaking and doing interviews with media?

Yes   No

Please list completed education and special training:

Please list your leadership and community activities:

Please describe your farming operation:

* Required.

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Illinois Soybean Association | 1605 Commerce Parkway | Bloomington, IL 61704
(309) 663-7692 phone | (309) 663-6981 fax | www.ilsoy.org