Parent Name
*
First Name
Last Name
Parent Phone Number
*
Country
(###)
###
####
Student Name
*
First Name
Last Name
Child's Grade for 2024-2025 School Year & Name of Homeschool
*
*Grade
*Name of Homeschool
Student Gender
*
Student Birthday
*
Please insert like this **/**/****
MM
DD
YYYY
Student Phone Number
If the student does not have a phone, insert "NA"
Mailing Address
*
(address, road, city, state, zip)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
I am a....
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New Student Question Only: How did you hear about Nebraska Ag Academy?
Facebook Group
Instagram
Word Of Mouth
News Outlet
Newspaper Article
Other
Will you be taking agriculture classes and applying for FFA membership?
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Which Type of Module/s Will You Be Signing Up For?
*
Which Junior Module/s will you be enrolling in?
Junior High Students
Which Beginning Module/s will you be enrolling in?
First Year High School Students
Which Intermediate Module/s will you be enrolling in?
(must be in grades 9th - 12th) Must choose at least 3 to be in FFA.
Which Advanced Module/s will you be enrolling in?
(must be in grades 11-12 and meet prerequisites) Must be enrolled in at least 15 weeks of class to be in FFA.
Which Crossroads Modules are you enrolling in?
Crossroads Modules are inclusive, multi-grade learning experiences designed for students in grades 7–12.
FFA+
Free optional module
New Parent Cohorts
Provide a space fore families to connect, support and share learning.
I verified that I completed all prerequisites and am of age for the module/s I'm signing up for.
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To be answered by the student: What makes you most excited to join the Nebraska Ag Academy? For returning students, what are you looking forward to the most for next school year?
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As a parent, what areas of concern or attention your child may need to prosper with virtual education?
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As part of FFA, we require members to be in good standing academically at least three weeks prior to contest in order to participate. Please state below that you understand this.
*
Below is a list of pathways in agriculture. Please select those that most interest your child
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(please choose more than one).
Choose the FFA Activities that most interest your child
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(please choose more than one)
If you choose to join FFA, you are responsible for ensuring your student gets transported to FFA contests and events.
*
I marked my calendar for the onboarding meeting.
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Junior High will meet Thursday, August 21 at 7:00 PM /// High School will meet Thursday, August 21 at 8:00 PM
How would you like to pay tuition for this school year?
*
