First Name
Last Name
• Email
Street
City
State
- Select a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Islands
Zip
• Work/School Name
• Work/School Address
Phone Number
Office Phone Number
• Are you a voting member of AAW?
  - Select a Value - Yes No
• Current Affiliate Membership (if any)
  - Select a Value - No Affiliate - At large only Alaska Women In Timber American Angus Auxiliary American Hereford Women American National Cattlewomen American Sheep Industry Women Arizona Agri-Women Associated Milk Producers Morning Glory Black Hills Women in timber California Women For Agriculture California Women For Turkeys California Women In Timber Ceres International Fraternity Colorado Agri-Women Colorado Wool Growers Auxilliary Farm Safety 4 Just Kids (IA) Florida Agri-Women Foremost Farms USA Fur Commission USA Idaho Women For Agriculture Idaho Women In Timber Illinois Agri-Women Indiana Agri-Women Iowa Agri-Women Kansas Agri-Women Kansas Cattlewomen Kansas Sheep Auxilliary Kentucky Women in Agriculture Lakes States Women In Timber Maine Agri-Women Michigan Peach Sponsors Minnesota Women for Agriculture Missouri Cattlewomen Montana Agri-Women Montana Women In Timber National Latino Farmers and Ranchers Trade Association National Peach Partners National Shorthorm Lassie Ass'n Nebraska Agri-Women Nevada Agri-Women New Mexico Wool Growers Auxilliary New York State Vegetable Growers Association , Inc North Dakota Agri-Women North Dakota Cattlewomen Ohio Agri-Women Ohio Holstein Women Oklahoma Women For Agriculture Oregon Women For Agriculture Oregon Women In Timber Penn's Agri-Women Phoenix Cotton Wives Red River Valley Potato Growers Auxilliary Salers Belles Sigma Alpha Sorority Texas Agri-Women Texas Citrus And Vegetable Association Texas Sheep And Goat Raisers Auxilliary Texas Vegetable Association Texas Women For Agriculture United Ag (Agri Business League, CA) Washington State Dairy Women Washington Women For The Survival of Ag Wisconsin Women For Agriculture Women for the Survival of Ag Michigan Women of Kansas Agriculture Aviation Association Women's Mining Coalition Wyoming Agri-Women
• What is your current or previous background relating to agriculture?
• List your volunteer service, with special emphasis on your involvement in AAW or your state affiliate.
• Why would you like to attend National Convention?
• Write a short essay on your educational background, leadership roles, current and future goals.
• How will you share your National Convention experiences with other members?
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