Illinois Farm Bureau® & Affiliates Cooperative Activities Program

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B. Chapter members participated in the following activities that include Illinois Farm Bureau^® and Cooperative Learning Activities over the past year (12 months). These items may not be reported on Form II.

Chapter/Member Participation in

	1. Southern Illinois Cooperative Youth Conference
	2. County Farm Bureau^® & Affiliates – FFA Acquaintance Program
	3. Illinois Farm Bureau^® (IFB) & Affiliates Youth Conference
	4. Illinois Farm Bureau^® (IFB) & Affiliates Cooperative Award Tour
	5. Attended a local Cooperative Annual Meeting
	6. One other Cooperative related learning activity (Co-op site tour, etc-specify):

Form I (continued)

Chapter 2014-15

Chapter conducted the following activities that included Cooperative Business & Education over the past year.
C. Chapter Activities Conducted. If there is multiple parts to the question (a, b, c), you must be able to say yes to

all parts in order to put yes for the question.

	1. Chapter developed and operated an actual cooperative during the year which includes the following:
	a. The chapter cooperative has a set of by-laws that have been approved by the members.
	b. The chapter cooperative followed the 7 cooperative principles.
	c. The chapter cooperative valuated its success, established a vision and set goals for the future.
	2. Chapter sponsored cooperative services to benefit its members which includes the following:
	a. Chapter provided a cooperative buying activity to offer products to members at a reduced price.
	b. Chapter provided a cooperative financing program to assist members in securing financing.
	c. Chapter provided cooperative selling/marketing service to assist members in market their products.
	3. Chapter members received in class instruction on cooperatives and their role in the American Free
	Enterprise system which includes the following:
	a. Agricultural Education Instructor used the Cooperative Business Curriculum in classroom instruction.
	b. Chapter members heard from an outside speaker on the operations and structure of a cooperative.
	c. The chapter conducted educational programs with the Illinois or County Farm Bureau® affiliated
	cooperatives such as FS, GROWMARK, Prairie Farms, or the IAA Credit Union.
	d. Chapter members toured a local cooperative to witness the operations and structure of a cooperative.
	4. Chapter conducted activities within the school and community to explain how cooperatives are an
	important part of the American Free Enterprise System which includes the following:
	5. Chapter worked in a cooperative manner with other in school organizations to conduct activities.
	6. Chapter worked in a cooperative manner with non-school groups to conduct activities.
	7. Chapter publicized the cooperative activities locally.

D. How did the chapter and individual members benefit from the Chapter’s Cooperative Activities Program? (5 pts Max.)

E. How did the school and community benefit from the Chapter’s Cooperative Activities Program? (5 points Max.)

F. Outline the media coverage for your entire Cooperative Program. Be sure to include number of articles submitted, published, radio/television interviews conducted, Public Service Announcements conducted.

Make sure to include the Certification Form with your chapter's application.

Form II (Section Entry)		Illinois Farm Bureau^® & Affiliates Cooperative Activities Program			2014-15
Chapter			School	Section


How to complete Form II:	Type a description of the activity within each area categories. Include within your description the planning that went into the development of the activity, the resources used, the accomplishment through the benefits derived by the chapter, the members and the community. Also include details of the media coverage before, during and after the event.

Supportive Information:	Supportive materials are limited to photographs only. You may attach no more than twelve (12) photographs on a maximum of 6 pages (two (2) photographs per page). Photographs must include which Form II Activity it relates to under the photograph in addition to a description that cannot exceed the space underneath the photo on the page. A sample photo attachment form is included with this application. The Illinois Farm Bureau^® & Affiliates Youth Education Committee reserves the right to retain and use accompanying photographs for publicity. All information must be provided on the official Cooperative Activities Award Application, no substitutions or other supplementary material my be added to this application.

Make sure to include the Certification Form with your chapter's application.

A. Education, Training and Information (30 points)

1. Describe the classroom instruction members received on the structure & operation of a cooperative business.

2. What other instruction (non-classroom) did members receive on the structure & operation of a cooperative business?

3. What resources were used to instruct members on cooperatives?

B. Describe the Chapter’s Cooperative Business (30 points)

1. What research was done to determine the needs of the members/community that needed to be served?

2. Describe the cooperative and what makes this a cooperative business.

Form II (continued) (Section Entry)	Illinois Farm Bureau^® & Affiliates Youth Education Committee Cooperative Activities Program	2014-15
Chapter

3. What are the goods/services that the cooperative offers its member/owners and the community?

C. Voluntary and Open Membership (30 points)

1. Who can become a member/owner of your chapter’s cooperative (qualifications)?

2. How do members go about becoming a member/owner of the cooperative?

3. How many member and non-member owners does the cooperative have? FFA members non FFA members

D. Democratic Member Control (30 points)

1. Did your chapter cooperative have a Board of Directors? 
a. If so, how many serve on the board? 

b. Who votes to elect the cooperative board of directors and how many votes does each person get?

c. How are they elected?

d. What are the qualifications to be elected to the Board of Directors?

e. Does your Board of Directors have officers, and if so, what officers do they have and what are their individual roles?

f. What is the responsibility of your chapter cooperative board of directors?

Form II (continued) (Section Entry)	Illinois Farm Bureau^® & Affiliates Youth Education Committee Cooperative Activities Program		2014-15
Chapter

1. (continued)

g. How many times a year did the Board of Directors meet this year?

h. Does your cooperative have an annual meeting (to review the success/profits/losses of the cooperative)?

1. When was it held?

2. Does the Board of Directors hire/appoint a manager of the cooperative?
a. What are the job responsibilities of your chapter cooperative manager?

b. Does the cooperative manager hire/select workers to help with the day-to-day operations of the cooperative?

1. If so, list the jobs and duties that these workers are responsible for.

E. Member Economic Participation (30 points)

1. How do members become owners of the cooperative?

2. How did the cooperative obtain initial capital for its start-up?

3. What is the value of a single share of your chapter cooperative stock? $ 
4. Are there a maximum number of shares of stock that a member can own? If so, how many? 
a. Explain why or why not?

5. How are the proceeds of the cooperative distributed?

Form II (continued) (Section Entry)	Illinois Farm Bureau^® & Affiliates Youth Education Committee Cooperative Activities Program			2014-15
Chapter

6. How does the cooperative buy back the stock of those owner/members that leave the cooperative (graduate)?

7. How many shares of stock are outstanding (number of shares owned by the member/owners at the time of

application)? 
F. Autonomy and Independence (30 points)

1. Is the cooperative board of directors the same as your chapter officers? 

Explain why or why not.

2. Does the cooperative board of directors operate independently from the FFA Chapter & its officers? 

Provide examples of how.

G. Cooperation among Cooperatives (30 points)

1. How does the chapter cooperative work with outside cooperatives to purchase goods and services it needs for its day-to-day operation or for resale to its member/owners and the community (this does not include education, training or information).

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