John
Trimble Youth Legislative Experience |
Entry Form |
The Potomac Grange #1 Legislative Fly-In Scholarship Program. This scholarship will reimburse recipients for their travel, food and lodging in Washington, DC during the Fly-In. For 9 years, the National Grange Legislative Fly-In has provided Grangers from all over the country with the opportunity to spend time on Capitol Hill and speak directly with their elected officials. Also included in this event are educational and informative workshops and the opportunity to take in historic and cultural activities in the nation’s capitol .
Preference will be given to applicants with the following criteria, but any Grange member interested in attending the National Grange Legislative Fly-In is eligible to apply.
- Married and planning to attend as a couple
- Under 35 years of age
- First time National Grange Fly-In participant
- Active participation in your local or state Grange legislative program.
In addition to the information requested above, please include an essay on a separate piece of paper consisting of no more than 400 words titled “How Attending the 2007 National Grange Legislative Fly-In will Help My Local Grange.” Applications are due January 31 to Potomac Grange.
National Convention Youth Legislative Experience will provide opportunities for six Grange Youth age 16 – 24 with an interest in the legislative aspect of the National Grange to see the inner workings of committees and the grass roots legislative policy development effort at the National Grange Convention.
- Each youth will serve on one of the legislative committees reviewing resolutions as a voting member of the committee and as a youth staff assistant to the National Grange Legislative Director. Participants will watch the delegate body take action on the resolutions and assist in other ways.
- An individual may participate in the program a maximum of one time.
- As a youth staff assistant they will be assigned some additional logistical duties so that they can see how the back room production process works at the convention. These duties will not conflict with the opportunities of seeing the National Delegates work on the floor.
- As guests of the National Grange their room cost will be paid (which will be shared with other participants) plus meals or tickets to certain meal functions.
- Transportation will be participant’s responsibility.
- Any participant who fails to comply with the guidelines set up will be expected to pay their own expenses.
- Applications will be submitted to the National Youth Development Director, who will share applications with National Legislative Director in making selection of participants and assignment to committee.
- Please include letters of recommendation from your Subordinate (community) Grange Master and your State Grange Master.
Print and fill out the application below or you can obtain an application from your State Youth Director, the National Youth Development Director or State Master. Applications are due September 10 to the National Youth Development Director. Cindy Greer, 7629 C.R. 100, Hesperus, CO 81326 e-mail: youth@nationalgrange.org
John Trimble Youth Legislative Experience Application
Grange
Name: __________________________________________________ Grange No: _____________
County:
__________________________ State:
_________________ Region: _______________________
Last
Name: __________________________________ First Name: _______________________________
Address:
______________________________________________________________________________
City:
__________________________________ State: ____________________ Zip Code: _____________
Phone Number:
___________________________ Email Address: ________________________________
Date
of Birth: _____________________________ Current Age: ______________________
Are
you a Male _______ or a female _______ (Please check one)
Date
of joining Grange _____________ Total average meeting attendance ____________
Number
of regular Subordinate Grange meeting held in the last year _________________
Number
of regular Subordinate Grange meetings you attended this last year __________
Highest
Degree held in the Grange? __________
Current
Office or Committees serving on? ___________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
A.
Legislative Experience you have participated in to date: (For Example, resolutions
written, state convention delegate or attendance at business sessions, local government
experience, etc.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
B.
What do you expect to gain from this experience?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
C.
How do you plan to use this experience in your Own Grange, Pomona or State?
______________________________________________________________________________________
______________________________________________________________________________________
D.
What is your legislative area of Interest? Please prioritize 1,2,3,etc.
| ______
Citizenship & Public Affairs | ______
Agriculture |
| ______
Conservation & Natural Resources | ______
Education & Health |
| ______
Labor & Judiciary | ______
Transportation &Taxation |
| ______
No Preference | |
Your Signature ______________________________________
Subordinate
Grange Certification:
This
will certify that the above named person is an active member in good standing
of our Grange and is eligible to participate in this program, and that the information
contained in this report is correct to my knowledge.
| Youth
Chairman (Signature) __________________________________ | Date
________________ |
| Subordinate
Master (Signature) _______________________________ | Date
________________ |
| State
Certification: | |
| State
Youth Director (Signature) ______________________________ | Date
________________ |
| State
Master (Signature) ____________________________________ | Date
________________ |
Return this form to the National Grange Youth Development Director, Cindy Greer,
7629 C.R. 100, Hesperus, CO 81326 on or before September 10. Please include
the letters of recommendation from your Subordinate Master and your State Grange
Master.
