Illinois Beef Leadership Academy Application

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Is your spouse also applying to participate in this program? *

Yes No Not Applicable

Are you a member of the Illinois Beef Association? *

Yes No

Questions:

Why are you interested in this program? *

Describe your connection to the beef industry. *

If you currently have a beef operation, please describe the operation.

Have you participated in any other IBA programs or events? *

Yes No

If selected, what are your expectations for the Beef Leadership Academy? *

Do you commit to making the four scheduled two-day training sessions and virtual connection sessions a priority?*

Yes No