2023 Emerging Leader Summit Application

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Describe your role in Ohio grain production. Do you own/operate a farm? Work for a farm? Have a career related to grain production?*
What are three industry issues you care about right now?
1st Issue*
2nd Issue*
3rd Issue*
Tell us about any volunteer or leadership roles you have been engaged in related to agriculture.*
Did someone encourage you to apply for this program? If so, who?