Collegiate Farm Bureau -Status Change - Graduation or Transfer

Collegiate Farm Bureau

Membership Status Change Form
Collegiate members should utilize this form when graduating or transferring. Kansas Farm Bureau provides one year of complimentary membership for Collegiate Farm Bureau graduates who stay in the state of Kansas and will connect transferring students to chapters at Kansas colleges or Farm Bureaus in different states.
Name*

First NameLast Name
Collegiate Chapter*
Home County*
County where you grew up or your parents live. If out of state, include state abbreviation and county
E-mail*
Are you graduating or transferring?*

GraduatingTransferring

Graduating
Graduation Date

MonthDayYear
Degree
Tell us about your career plans after graduation
New Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
County for complimentary FB membership
If out of state, include state abbreviation and county