Home > Leadership Summit Jan 30, 2023 | Tennessee Farm Bureau Name:(Required) First Last Preferred Name:(Required)Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number:Email:(Required) Gender:(Required) Male Female Age on June 1, 2026:(Required)Grade entering Fall 2026:(Required)Allergies/Dietary Restrictions:Do you have a technology item you can bring (i.e. laptop, tablet, etc.)?(Required) Yes No Parent or Guardian Name:(Required)Parent/Guardian Phone Number:(Required)Parent/Guardian Email:(Required) Applicant Check here to confirm you are your county’s approved delegate.Sponsored by:Include name of County Farm Bureau and name of one of the following: County president, county secretary or agency manager. You can also include the name of a different organization, if sponsored by them. (ie.e lions club, rotary club, etc.)Please write a short statement (250-500 words) indicating why you would like to attend the 2026 Tennessee Leadership Summit, and what you hope to gain from your experience.(Required)Applicant(Required) Check here acknowledging that by entering your name you agree to abide by the rules set forth by my sponsor and the University of Tennessee, Knoxville.Applicant Signature(Required)User your finger or mouse to write your signatureParent/Guardian(Required) Check here acknowledging that by entering your name you give your child permission to attend the Tennessee Leadership Summit at the University of Tennessee, Knoxville.Parental/Guardian Signature(Required)User your finger or mouse to write your signature
Name:(Required) First Last Preferred Name:(Required)Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number:Email:(Required) Gender:(Required) Male Female Age on June 1, 2026:(Required)Grade entering Fall 2026:(Required)Allergies/Dietary Restrictions:Do you have a technology item you can bring (i.e. laptop, tablet, etc.)?(Required) Yes No Parent or Guardian Name:(Required)Parent/Guardian Phone Number:(Required)Parent/Guardian Email:(Required) Applicant Check here to confirm you are your county’s approved delegate.Sponsored by:Include name of County Farm Bureau and name of one of the following: County president, county secretary or agency manager. You can also include the name of a different organization, if sponsored by them. (ie.e lions club, rotary club, etc.)Please write a short statement (250-500 words) indicating why you would like to attend the 2026 Tennessee Leadership Summit, and what you hope to gain from your experience.(Required)Applicant(Required) Check here acknowledging that by entering your name you agree to abide by the rules set forth by my sponsor and the University of Tennessee, Knoxville.Applicant Signature(Required)User your finger or mouse to write your signatureParent/Guardian(Required) Check here acknowledging that by entering your name you give your child permission to attend the Tennessee Leadership Summit at the University of Tennessee, Knoxville.Parental/Guardian Signature(Required)User your finger or mouse to write your signature
