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Youth Heifer Program Application

All fields marked with * are required.

Applicant Information

First Name *

Last Name *

Email Address *

Street Address *

City *

State *

ZIP Code *

Phone Number *

County *

Birthdate *

Grade in School *

School Attending *

Breed Preference *

What activities, clubs, and organizations are you involved in? *

What is your current experience with or responsibilities in the beef industry? *

Why are you interested in participating in this program and what are your goals? *

How will you promote this program and the credit union within your community? *

Parent/Guardian Information

First Name *

Last Name *

Street Address *

City *

State *

ZIP Code *

Phone Number *

Email *

Describe the resources and the facilities the recipient will have access to if selected for the program. *

How do you plan to support the recipient if they are selected for this program and how will expenses be managed? *

Parent/Guardian Acknowledgement

I acknowledge that I must co-sign this loan and provide insurance for the cattle purchased. *

Date of Acknowledgement *

Upload Document Section

Three Letters of Recommendation *

Projected First Year Cash-Flow *