Jr. Director Application Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date of Birth* MM slash DD slash YYYY Grade in School* CPPA Jr. Member*YesNoApplication 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 Select files 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.PhoneThis field is for validation purposes and should be left unchanged.