COLLEGIATE DISCUSSION MEET

APPLICATION AND INFORMATION SHEET

Deadline for entry is 5 p.m. on December 30

Competitor's Name (as it should appear in a program)  

Phonetic Pronunciation

Name of College:

Where should correspondence be sent?

City, State, Zip

Phone:  Email   

Home State: County    

FB Membership Number    

Permanent Address

City, State, Zip

  Sex Male Female   Age    Date of Birth    

Biographical Information - Please write a 5-7 line biographical sketch written in third person

Rules

For Discussion Meet topics, click here.  For Discussion Meet manual, click here.  Click for Appendix A Tie Breaker Sample and Appendix B Sample Rankings.  Resource material is also available for download.

Prizes

First place winner will receive $500 cash and an expense-paid trip to compete at the 2012 AFBF YF&R Leadership Conference in Grand Rapids, Michigan (Feb. 18-20, 2012).  Second place will receive $300 cash.  Third place will receive $200 cash.  Fourth place will receive $100 cash.

By checking this box, I certify that I am the above named applicant, with a membership of a county Farm Bureau in Kansas, and consent to the rules of Kansas Farm Bureau's Young Farmer & Rancher Discussion Meet.

After clicking on "submit" please print the following

 confirmation page as a copy of your application