Exit ALP in ACTION Contact Information Question Title * 1. Name: Question Title * 2. Email: Question Title * 3. Phone: Question Title * 4. Address: Degree Information Question Title * 5. Degree (select all that apply): High School/Trade School Associate's Bachelor’s Master’s Doctoral Professional Certification Other (please specify) Question Title * 6. Major field of study: Current Employment Information Question Title * 7. Employer: Question Title * 8. Job title: Question Title * 9. Field of work: Academic/Education Consulting and Advisor Economic and/or Community Development Energy Farming and Production Agriculture Finance & Financial Services Insurance Legal Services Manufacturing Other Real Estate / Farm Management Research Sales and Marketing State and Federal Agency Technology Technology Trade, Membership, and Non Profit organizations Transportation & Delivery Youth Development Question Title * 10. Have you held/Do you hold an elected local office? School Board County Commissioner County Council Other Question Title * 11. What Civic/Community Organizations have you served? Please share the organization, role and years of service. Community Foundations Civic Organizations (i.e. Rotary, Kiwanis, Optimist, etc.) Faith Based Educational (i.e. PTO, Education Foundation, Alumni, etc.) Local Governance (i.e. BZA, Redevelopment Commission, Parks Board, Water/Sewage Utility, etc.) Youth Organizations (i.e. 4-H, FFA, Fair Board, Scouts, etc.) Other: Share specific roles and years of service Question Title * 12. Have you held/Do you hold an Elected Office in a Trade or Membership Organization at State and National levels. Please list organization served, role, and years of service. Yes No If Yes, please list organization, leadership role, and years of service. Question Title * 13. How can AgrIInstitute better serve you? Educational opportunities Travel with other ALP graduates either domestically or internationally I would love to volunteer time to help AgrIInstitute I am happy to help with ALP Class recruitment Networking gatherings with ALP in my area Network or educational gathering with Ag Leadership Program in neighboring states Other (please specify) None of the above Question Title * 14. How likely are you to recommend ALP to a friend or colleague? 0 Not at All 10 Highly Likely Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 15. Do you include your ALP participation on your professional resume, bio information, LinkedIn, other lists? Have not done so Included Great idea, I will do so Not willing to include Question Title * 16. ALP provides opportunity to strengthen leadership skills and capacities. no value some value neutral valuable high value no value some value neutral valuable high value Comments : Question Title * 17. ALP increased my confidence and preparation to take on higher level leadership roles in business, industry roles, and/or civic/community roles. Not at all To some extent Absolutely Not at all To some extent Absolutely Comments: Question Title * 18. ALP expanded my network of professional and personal connections. no significant change neutral significant change no significant change neutral significant change Comments: Question Title * 19. ALP helped me be better informed about industry issues, civic and community matters, and gain international perspective. No About the Same Definite Increase No About the Same Definite Increase Comments: Question Title * 20. What else would you like to share, including ideas for improvements, personal experience and value. Done
