11. Schools Attended
High School:
Community College:
Name:
Name:
City:
City:
State:
State:
Last Grade Complete:
Last Grade Complete:
Major:
Degree:
College or University:
Trade School or Apprenticeship:
Name:
Name:
City:
City:
State:
State:
Last Grade Complete:
Last Grade Complete:
Major:
Major:
Degree:
Degree:
12. Personal References: Give four references, not relatives, who can vouch for your ethics, credibility and competence. (Be sure to include complete addresses, including zip code and fax number if available.)
Reference 1:
Reference 2:
Name:
Name:
Address:
Address:
City:
City:
State:
State:
Zip:
Zip:
Telephone
Number:
Format: 555-555-5555
Telephone
Number:
Format: 555-555-5555
Fax Number:
Format: 555-555-5555
Fax Number:
Format: 555-555-5555
Reference 3:
Reference 4:
Name:
Name:
Address:
Address:
City:
City:
State:
State:
Zip:
Zip:
Telephone
Number:
Format: 555-555-5555
Telephone
Number:
Format: 555-555-5555
Fax Number:
Format: 555-555-5555
Fax Number:
Format: 555-555-5555
IF YOU ARE APPLYING FOR BOTH LIVESTOCK AND FARM EQUIPMENT DESIGNATIONS, PLEASE FILL IN BOTH THE LIVESTOCK AND FARM EQUIPMENT SECTIONS THAT YOU HAVE ACTUAL EXPERIENCE WITH, NOT JUST A KNOWLEDGE OF.
13a. LIVESTOCK APPLICANTS: (International Society of Livestock Appraisers) - Please list the particular breeds of livestock you are familiar with:
---If None...Skip Step---
1.
2.
3 .
4.
5.
6.
7.
8.
13 b. FARM EQUIPMENT APPLICANTS: (American Society of Farm Equipment Appraisers) - Please list the brand names of farm equipment that you have worked with or are familiar with, including any specialized equipment:
---If None...Skip Step---
1.
2.
3.
4.
5.
6.
7.
8.
14. Are you willing to travel?
Yes
No
If yes, how far?
Miles
15. How many hours per week could you work?
Hours
16. Do you have any other business interests that could compliment membership in this society? If so, please explain.
---Leave Blank If None---
Please Read Before Submitting:
If you have any questions regarding the following statement, please ask them of a society representative before submitting.
I authorize my previous employers, (please contact the Association
Headquarters if you do not want to have your current employer
contacted.) schools or persons named as references to give any
information regarding my employment or educational record. I agree
that my previous employers shall not be held liable in any respect if a
membership is not tendered, is withdrawn or my membership
is terminated because of falsity of statements, answers or omissions
made by me in this questionnaire. (In the event my membership
with the American Society of Agricultural Appraisers is accepted, I
will comply with all of the rules and regulations as set forth in this,
or other communications distributed to all members.)
I certify that all statements made by me on this application are true
and complete to the best of my knowledge and that I have
withheld nothing that would, if disclosed, affect this application
unfavorably.
I hereby acknowledge that I have read the above statement, that I
understand the same; and that I agree to abide by all codes,
regulations and reguirements, of The ASAA.
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