Ag Education Information Survey
Please Fill out this form to the best of your ability. This information will benefit me during the school year.
| First Name | |
| Last Name | |
| Home Phone | |
Please identify and describe yourself:
| First Name | |
| Last Name | |
| Date of Birth | |
| Sex | Male Female |
Choose one of the following options: During what class period do you have Ag?
Would you like to join FFA ?
Yes No
How would you rate your opinion of past Ag classes ?
bad poor average fair good