Women’s Conference ApplicationWomen's Conference Application If chosen, $250 is due to NDFU. Deadline: Nov. 30 Questions, call Chelsey at 701.400.5431Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date of birth*Are you a current member of North Dakota Farmers Union?*YesNoWhich conference are you applying for?*National Farmers Union's Women's ConferenceExecutive Women in AgricultureBothHave you previously attended a North Dakota Farmers Union women's event, such as the annual Women in Leadership Development (WILD) conference held in Jamestown or a regional WILD event?*YesNoHave you previously attended a National Farmers Union women's conference or Executive Women in Ag event?*Yes, NFU Women's ConferenceYes, EWAYes, bothNoDo you farm and/or ranch?*YesNoWhat types of crops do you grow and what is the size of your operation?What types of animals do you raise and how large is your herd?Are you planning on attending the North Dakota Farmers Union State Convention as a delegate, Dec. 13-14, in Bismarck?*YesNoDo you serve on any boards (example: credit union board, cooperative board, nonprofit organization board). If so, please list.*List the organizations you volunteer for in your community.*Are you a member of a co-op? If yes, which co-op(s)?*Are you interested in starting or being involved with a regional WILD event?*I am interested in starting a regional WILD eventI am interested in being part of a regional WILD eventNoWhat does Women in Leadership Development mean to you?*As a woman involved in agriculture, what do you most want to learn about?*How does agriculture impact you as a woman?*Why do you consider yourself a WILD woman?*