Jr. Director Application

Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Date of Birth*
MM slash DD slash YYYY
Grade in School*
CPPA Jr. Member*
Application must include the following documents.*
• A one-page summary of your education, experience with and knowledge of the California pork industry, leadership skills, awards, etc. • A copy of your recent transcripts. • Black and white photo of yourself (must accompany application). • Medical release form.
Drop files here or

Max. file size: 256 MB.
Consent*
I certify that all statements in this application are true to the best of my knowledge. I understand that falsification is cause for voiding this application.
Name
This field is for validation purposes and should be left unchanged.