Youth Ambassador Biography Form

The biography must be completed and submitted by Dec. 3, 2012.

*Name:

*Address:

*Parents' Names :

*City:

*State:

*ZIP Code:

*County:

*Cell Phone:

*E-mail Address:

*School or Employer:

*Major (or other area of interest):

*Future Plans :

*Describe your top 5 county activities :

*Describe your pork industry involvement :

*Describe your personal leadership involvement (local & state levels) :

*Describe your community and/or church service involvement :

*Describe other activities (school, organizations, hobbies, etc.) :

*Jobs/Employment :

*Describe the benefits of the Pork Checkoff :