Missouri Angus Queen Official Application Form

NAME:_______________________________________________DOB:_____________ 

ADDRESS:______________________________________________________________ 

PHONE:___________________________E-MAIL:______________________________ 

PARENTS/GUARDIAN:___________________________________________________ 

ADDRESS:______________________________________________________________ 

PHONE:___________________________E-MAIL:______________________________ 

SCHOOL:____________________________________GRADE LEVEL:_____________ 

CUMULATIVE GPA:___________________________CLASS RANK:_____________ 

YRS. IN MJAA:_______YRS. IN NJAA:_______MEMBER CODE:________________ 

PLEASE LIST SCHOOL ACTIVITIES FOLLOWED BY THE YEAR(S) YOU WERE INVOLVED IN DECENDING ORDER.

PLEASE LIST COMMUNITY ACTIVITIES/SERVICE ORGANIZATIONS FOLLOWED BY THE YEAR(S) YOU WERE INVOLVED IN DECENDING ORDER. 

PLEASE LIST THE MJAA AND NJAA ACTIVITES FOLLOWED BY THE YEAR(S) YOU WERE INVOLVED (INCLUDE LEADERSHIP POSITIONS, HONORS AND AWARDS). 

PLEASE EXPLAIN HOW ONE OF YOUR MJAA OR NJAA EXPERIENCES POSITIVELY IMPACTED YOU AND/.OR ANOTHER PERSON. 

PLEASE EXPLAIN WHY YOU WOULD LIKE TO BE SELECTED AS THE MISSOURI ANGUS AMBASSADOR AND HOW YOU WOULD HELP PROMOTE THE ANGUS BREED. 

If selected to serve as the Missouri Angus Ambassador, who will accompany you to the required events? __________________________________________________________ 

____________________________    ____________    __________________________
Applicant Signature                                Date                     Parent/Guardian Signature

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