AgForestry Leadership Program Application Application – Class 47 “*” indicates required fields Step 1 of 520% General Information Applicant’s Legal Name* First Middle Last Nickname Personal Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred Phone Number*May be personal or workSecondary Phone NumberPreferred Email*May be personal or work email Secondary Email Employment Information Company Name*Applicants Position/Title*Name of Supervisor or Authorized Employer*The required Employer Release Form and Employer Evaluation will be sent by AgForestry staff to this individual. If you are self-employed, please enter your own information. Position/Title of Supervisor or Authorized Employer*Authorized Employer Email* Authorized Employer Phone*Employment Category*To ensure AgForestry is well balanced by individuals in the Agriculture, Natural Resources and Forestry fields, we categorize prospects by employment related activities. Please select which category best represents your employment.Agriculture (farmer, rancher, etc.)Agriculture Related (grain storage, research, etc.)Agriculture Integrated (both agriculture options above)Forestry (forester, ranger, etc.)Forestry Related (controller, manager)Forestry Integrated (both forestry options above)Fisheries (Shellfish Growers, Fish & Wildlife Field, etcFisheries Related (compliance positions, education/outreach, etc.)Fisheries Integrated (both fishery options above)Community/Related Services (Insurance, Banking, etc.) Sectors* Sectors give us a deeper look into what you are professionally involved in. Please select all sectors that pertain to your employment. Berries Cattle Crop Inputs Dairy Fisheries Foresters General Industry Organizations Government Agencies Grains Grape/Wine Hay Hops/Beer Multi Crops/Other Crops Nursery Other Other Livestock Potato Processing/Manufacturing Professional Services Shellfish/Aquatics Transportation & Storage Tree Fruit Tribes Community InvolvementProvide any clubs, groups, organizations or efforts you have participated in personally or professionally. Please include a description of any leadership roles or special projects you were involved in within these groups. If not currently involved in any community organization, provide what organizations you hope to get involved in and how you hope to make an impact. Awards & HonorsPlease include the organization or grantor of the award/honor, award title and/or description, and year received. In what ways are you expanding your horizons?Such as professional or pleasure reading you have done in the past year, podcasts you regularly listen to, online industry community involvement, personal development/reflection activities, etc. Interview Preferences In-person interviews will be held statewide on Thursday, June 5, 2025. Interview locations are normally determined based on closest proximity to where an applicant lives. But some applicants prefer different locations based on travel/work. Please indicate preferences below, guarantees can not be made. Interview times and locations will be emailed by April 30, 2025. While in-person interviews are preferred, we can accommodate online interviews if scheduled ahead of time. Due to volunteer interview panels, all interviews will be scheduled for Thursday, June 5, 2025.Preferred Interview RegionSkagit CountySheltonWenatcheeYakimaTri-CitiesWalla WallaSpokaneSecond Choice RegionSkagit CountySheltonWenatcheeYakimaTri-CitiesWalla WallaSpokaneInterview timeNo preference8 am – noonnoon – 5 pm Consent* By clicking this box, I agree, that the information I have provided is true and accurate to the best of my knowledge. I agree to the accuracy of the information provided. Eligibility* – I have lived and/or worked in Washington for at least one year and will be a minimum of 25 years of age when the program begins. – I plan to remain employed in Washington in agriculture, forestry, or related natural resource industry for the duration of the program. – I understand all application requirements must be submitted within the provided application window. – I plan to attend all seminars in person (approx. 22 days) and can be away from communications (laptop, cell phone, pager) during seminar hours. By checking this box, I agree to the eligiblity requirements listed above. Informational Survey This information is for AgForestry staff to gauge the effectiveness of our advertising and communications efforts.How did you hear about AgForestry?
