Missouri FFA HYMAX Academy Application & Information

Contents • HYMAX Academy Description• Application Page 1• Application Page 2• Application Page 3• Scoring• Parental Consent Form• Invoice• Items to Bring and Not to Bring to HYMAX• Map and Directions to Camp Rising Sun

Helping Youth Maximize their Agricultural eXperience (HYMAX) 2019 Missouri FFA Agricultural Leadership Freshmen Academy

Are you a future leader in Agriculture, FFA, and your community? If you answered YES, the HYMAX Academy is for you! HYMAX is a youth leadership conference designed for promising ninth grade students to reach their full potential! These FFA members will be prepared for future leadership roles, agricultural career exploration, and advocacy for agriculture. In addition, you will gain key strategies for SAE development, written and verbal communication skills, and career development. Most importantly, you will bring home tools to help you and your chapter achieve greater success!

The HYMAX will further motivate Agricultural Education freshmen students during a weekend-long leadership conference. It will provide a foundation in agricultural leadership and prepare you to embrace agricultural and leadership opportunities throughout your high school career.

In 2019, the top FFA Greenhands (up to a maximum of 100 students) will be selected to participate in HYMAX through a competitive written application process. Advisors may nominate up to FOUR students (two girls and two boys) per chapter. Students need to submit a written application, academic transcript, and two letters of recommendation. One of the two letters must be from your Agricultural Education Teacher/FFA Advisor and the second from a community leader that knows you and your leadership experience. Academy members will experience this innovative agricultural leadership academy at the Missouri FFA Camp Rising Sun at the Lake of the Ozarks, June 14-16, 2019. A participant fee of $30 will provide lodging, meals, leadership materials, and Academy T-Shirt.

All applications must be submitted BY MAIL to the Missouri FFA office by February 15, 2019. There are five parts to the written application - BE SURE ALL PARTS ARE SUBMITTED:

1) Information and signatures (page 1),2) Student narratives (pages 2 & 3),3) Ag Educator/FFA Advisor recommendation,4) Community leader recommendation, and5) High school academic transcript.

Please make sure that the information is correct on the applications, especially e-mail address. Students will be contacted prior to attending HYMAX using this e-mail address.

FFA members will be notified of selection by April 1, 2019. Registration fee will be due by May 15, 2019.

SAVE THIS APPLICATION TO YOUR COMPUTER BEFORE TYPING YOUR INFORMATION IN!!

Name:

Address: City: Zip:

Home Phone:

Email address (student):

Chapter Name:

Chapter Advisor(s):

School Address: Zip:

T-Shirt Size:

Gender:

FFA Area:

FFA Advisor Signature School Administrator Signature

Additional Documentation: 1)The local FFA Advisor must submit a Letter of Recommendation for each

applicant explaining the individual's interest in agriculture and the FFA. 2) A Letter of Recommendation from

a community leader. 3) Academic Transcript, including grades from the fall semester must be submitted. 4)

Please indicate T-Shirt size above.

Parent Signature

Parent(s)/Guardian:

Interest Area:

Student Signature

Please select the FFA Area your chapter is located in and which agricultural area of

interest in which you would most like to receive instruction.

MISSOURI FFA - HYMAX ACADEMY APPLICATION

Submit Application Pages 1, 2 & 3; Advisor Recommendation; Community Recommendation and Academic Transcript by mail on or before February 15, 2019 to:

Missouri Department of Elementary & Secondary EducationAgriculture, Food & Natural ResourcesPO Box 480Jefferson City, MO 65102-0480

HYMAX APPLICATION - PAGE 1

MISSOURI FFA - HYMAX ACADEMY APPLICATION

INSTRUCTIONS: Please answer the following questions in the space provided.

1. What is the most interesting aspect of FFA you like the best? Explain your answer.

3. Why does the current Agricultural Industry need youth to Advocate?

2. What is leadership? When have you demonstrated leadership in the FFA?

HYMAX APPLICATION - PAGE 2

6. What is a current important issue facing agriculture? How can you influence it?

5. Why do you believe your Supervised Agricultural Experience (SAE) Program is

important? How does SAE relate to careers?

4. How will your participation in the HYMAX Academy benefit your FFA career?

Why is it important for your personal, leadership and/or career development?

HYMAX APPLICATION - PAGE 3

Points Points Possible

Advisor Letter of Recommendation 10

Community Letter of Recommendation 10

Narrative 1 10

Narrative 2 10

Narrative 3 10

Narrative 4 10

Narrative 5 10

Narrative 6 _________ 10

Academic Performance 10

Professionalism of Application 10

Total Score 100

MISSOURI FFA - HYMAX ACADEMY APPLICATION

Application Scoring Guide

This form may be duplicated

STATEMENT OF PHYSICAL

CONDITION AND

PARENTAL CONSENT FORM

DESE Telephone: 573-751-3544

Male ____

Female____

MISSOURI ASSOCIATION FFA HYMAX ACADEMY

Name of Camper _______________________________________, Date of Birth____/____/_______

School_____________________________________ Advisor Name(s)________________________

Note to Parents: Please fill out the following information keeping in mind that some of the activities at the camp such as swimming, softball, basketball, volleyball, and badminton can require strenuous activity. If you know of physical conditions that would restrict your camper, please list them below or attach a physician’s statement. It is also important that your child and their instructor are well informed on the any limitations or precautions that should be taken. Please include if your child is on any type of medication, is allergic to any type of medication or requires a special diet.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

I, ________________________, ___________________ of __________________________,(Print - Parent or Guardian Name) (Print - Relationship) (Print - Student Name)

hereby give permission for the above mentioned camper to take part in all activities at Camp Rising

Sun, with exception of the following: ___________________________________________________,

while he/she is attending HYMAX ______________to _____________, and the event of an emergency,( (Date) (Date)

if I cannot be reached, I give consent for the attending school’s representative to obtain through a

physician or hospital of their choice such medical care as is reasonably necessary for the welfare of my

child.

____________________________________ ____________________________________ (Emergency Phone Number) (Signature of Parent or Guardian)

_________________________________________________________________________________ (Print - Complete Home Address, including Zip Code)

Insurance-Limited medical insurance is purchased for all campers who attend regular camp weeks. If an injury requiring medical attention occurs while participating in camp activities, all Campers having personal health insurance coverage will use their personal coverage; campers that do not carry health insurance will use the camp policy; the camper and their parents are responsible for any medical bills exceeding those covered by the policy purchased by the camp.

*******Personal Health Insurance Information*******

Name of Insurance Company ________________________________ Group Policy Name _______________________

Policy Member Name ______________________________________ Policy Group # _______________________

Policy Member ID# _____________________________________

If not mailed with the application, Please present this statement to registration officials upon arrival at HYMAX.

Facilities and services are available to all without regard to race, color, national origin, age, sex, or disabling condition.

INVOICE

Payable to:

Missouri FFA Association

P.O. Box 480

Jefferson City, MO 65102-0480

Phone: 573/751-3544

Due: TO BE RECEIVED BY MAY 15, 2019

2019 HYMAX Academy Registration Fee $30.00________________________________________________________________________________

TOTAL AMOUNT OWED $30.00

Mail to: Department of Elementary & Secondary Education

Attention: Valerie Harris

P.O. Box 480

Jefferson City, MO 65102--0480

Chapter Name:

Student Name:

Items that campers will need to bring to camp

Signed Parental Consent formPencil or pen (at least 2)Bed linenPillowTowelsSoapFlashlightRefillable water bottleOther Personal ItemsRain GearSpending money for snacks and other items

Items that campers should not bring to camp

Radios or stereos (Including IPods)FireworksHunting knivesFood/Snacks

TOBACCO, ALCOHOL &/or DRUG POSSESSION or USE IS NOT PERMITTED

HYMAX Academy

MISSOURI FFA

Any clothing (caps, shirts, belt buckles, etc.) that advertise alcohol, tobacco, or

drugs or have other objectionable material on them.

"Official Dress is Not Needed for HYMAX"

Directions to Camp Rising Sun

From St. LouisLake of the Ozarks State Park is approximately three hours from St. Louis. Take Hwy. 70 west to Hwy. 54 at Kingdom City. Take U.S. Hwy. 54 west to Jefferson City. In Jefferson City, stay on U.S. Hwy. 54 west to Hwy. 42. Proceed east on Hwy. 42 three miles to Hwy. 134, turning right will lead you into the state park. Drive past the Park Office and take the first blacktop road “Whispering Oaks” on the right. Stay on Whispering Oaks road which becomes Black road for six miles. The entrance road to Camp Rising Sun will be a gravel road to the left.

From Jefferson CityLake of the Ozarks State Park is approximately one hour from Jefferson City. Take U.S. Hwy. 54 west to Hwy. 42. Proceed east on Hwy. 42 three miles to Hwy. 134, turning right will lead you into the state park. Drive past the Park Office and take the first blacktop road “Whispering Oaks” on the right. Stay on Whispering Oaks road which becomes Black road for six miles. The entrance road to Camp Rising Sun will be a gravel road to the left.

From Kansas City areaLake of the Ozarks State Park is approximately three hours from the Kansas City area. Take I-70 east to Columbia. Exit onto U.S. Hwy. 63 and travel to Jefferson City. In Jefferson City, take U.S. Hwy. 54 west to Hwy. 42. Proceed east on Hwy. 42 three miles to Hwy. 134, turning right will lead you into the state park. Drive past the Park Office and take the first blacktop road “Whispering Oaks” on the right. Stay on Whispering Oaks road which becomes Black road for six miles. The entrance road to Camp Rising Sun will be a gravel road to the left.

From SpringfieldLake of the Ozarks State Park is approximately 2 hours 30 minutes from Springfield. Take I-44 east to Lebanon. Proceed north on Hwy. 5 to Camdenton where you will take U.S. Hwy. 54 east. From U.S. Hwy. 54, take Hwy. 42 three miles east to Hwy. 134, turning right will lead you into the state park. Drive past the Park Office and take the first blacktop road “Whispering Oaks” on the right. Stay on Whispering Oaks road which becomes Black road for six miles. The entrance road to Camp Rising Sun will be a gravel road to the left.