Alabama FFA



New FFA Chapter Chartering Application for Private Schools

Please send this completed application to:

Mr. Andy Chamness, State FFA Advisor

Agriscience Education

Alabama State Department of Education

P. O. Box 302101

Montgomery, Alabama 36130-2101

Dear Mr. Chamness:

We, the undersigned, affirm that the Agriscience students of Type School Name Here have organized into a local chapter for the purpose of applying for membership in the FFA. In the name of the chapter and for the chapter, we hereby make application for a charter that will give full membership in the National FFA Organization and the Alabama FFA Association. We have adopted a constitution that is consistent with the Alabama FFA Constitution, elected necessary officers, identified membership and developed a preliminary Program of Activities*.

The official chapter name should appear on the charter as Insert FFA Chapter Name Here FFA Chapter. Our school has a certified instructor in place that is delivering instruction for a recognized program for Agriscience Education serving the Agriculture, Food and Natural Resources Cluster. The instructor will also serve as the local FFA chapter advisor.

Attached to this application, completed with accurate information, are the following documents:

1. A list of chapter officers;

2. A complete list of chapter members;

3. A copy of the chapter’s constitution; and

4. A copy of our preliminary Program of Activities.

We hereby agree to meet the requirements set forth in the Private School Requirements for Starting and Maintaining a FFA Chapter Charter document and make application for a charter in the Alabama FFA Association and the National FFA Organization.

Sincerely,

      _____________________________________

Date Organized Chapter President Signature

_____________________________________

Chapter Secretary Signature

_____________________________________

Chapter Advisor Signature

_____________________________________

School Administrator Signature/Title

*Sample FFA Program of Activities and FFA Constitution can be found on the “Teachers” page of .

Chapter Information:

Required Information in RED

School Name:      

Billing Address:      

City:       State:       Zip:      

Shipping/Physical Address:      

City:       State:       Zip:      

School Phone:       School Fax:      

Official FFA Chapter Name:      

Chapter Type:

Lead Advisor’s Information:

Advisor’s Name:      

Advisor’s Email Address:      

Ag Department Phone:      

Advisor’s Mobile Phone:      

Type of Membership*:

*Please research options on the “Membership” page of .

Official FFA Jacket Information:

On the back of the jacket “Alabama” will be listed as the state name above the emblem.

Please give the chapter name (up to 2 lines) that will appear below the emblem.

Jacket Back: Chapter Name Line 1:      

Jacket Back: Chapter Name Line 2:      

Please include four items with your application:

1. A list of chapter officers;

2. A complete list of chapter members;

3. A copy of the chapter’s constitution; and

4. A copy of the chapter’s preliminary Program of Activities.

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For State Office Use Only:

Chapter Number: AL______________

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