2018 Give the Gift of Blue Program Application

The University of Mount Olive is partnering with County Farm Bureaus across North Carolina to, “Give the Gift of Blue,” at the 90^th North Carolina FFA State Convention on June 20 during Session Three. This project will award Official FFA Jackets to deserving members through an application and recommendation process. FFA members who want an FFA jacket may apply for a jacket to be awarded at no cost. FFA Advisors of applying members will be contacted by UMO staff to confirm eligibility.

This program also allows FFA advisors to recommend a deserving FFA member to receive a jacket through the program. Advisors may complete the form below and skip the Additional Information section.

Applications are due by May 1, 2018.

Are you completing this application as an FFA

Member

Advisor

Student Information

First Name

Middle Name (if applicable)

Last Name

Birthdate

How did you find out about this award?

Contact Information

Telephone Number

Email

County of Permanent Residence

Mailing Address

Country
Street
City
Region
Postal Code

Jacket Information

Name to appear on jacket

Jacket

Men's (size 28-56)

Women's (size 28-50)

Size

Jacket fitting guide video
(a new window will open)

If you are selected to receive a jacket, will you be able to attend State Convention to receive it?

Yes.

No.

Would you be able to obtain a jacket without the Give the Gift of Blue program?

Yes.

No.

FFA Information

FFA Advisor's Name

FFA Advisor's Email

FFA Membership Number

FFA Chapter Name

FFA Chapter Number

High School

Grade Level

High School Phone Number

Additional Information (Advisors may skip this section)

Please describe the reasons for your application and what the blue jacket means to you.

Certification

Signature