
Please number each answer to correspond to the number on Form AD-755. When you have completed your answer s attach to Form AD-755. To be completed by R P Board Members Only 10a. If applicable how long have you been engaged in farming or production and what is the size of your farming operation. i.e. List acreage and pounds produced by kind of crop as well as kinds and numbers of livestock AD-755 10/02 11. REPRODUCED LOCALLY Include form number and date on all reproductions. Form Approved O. M. B. No* 0505-0001 United States Department of Agriculture ADVISORY COMMITTEE OR RESEARCH AND PROMOTION BACKGROUND INFORMATION Insert the board/council name here Privacy Act Notice Public Laws 95-113 and 93-579 permit collection of the data requested on this form* The information is used to determine qualifications suitability and availability for service on advisory committees or research and promotion boards/councils. The information will be used to conduct background clearances and/or for annual....
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How to fill out the USDA AD-755 online
The USDA AD-755 form is essential for individuals seeking membership on advisory committees or research and promotion boards. This guide provides clear and supportive instructions for completing the form online, ensuring users can accurately submit their information.
Follow the steps to successfully complete the form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your name as requested in the first section, formatted as Last, First, Middle. Ensure clarity when typing this information.
- Provide your Social Security Number in the designated field, along with marking whether you are a U.S. citizen. If you are not a U.S. citizen, include your passport number and issuing country.
- Fill in your residential address, ensuring to include the ZIP code for accuracy.
- Enter your business and home phone numbers, along with your cell or mobile number and fax number, if applicable. Also, include a valid email address.
- Indicate your place of birth, including the city and state, as well as the country if born outside of the U.S.
- Enter your date of birth in the specified format.
- This section is voluntary. Please indicate your gender, ethnicity, and race by marking the appropriate options.
- Provide the name of your company or business, if applicable.
- Indicate whether you are a federally registered lobbyist by selecting yes or no.
- Fill in your company or business address, ensuring to include the ZIP code.
- List your occupation or title in the appropriate field.
- If required, complete the commodity questions based on your role as a research and promotion board member.
- Detail your farming or production engagement if applicable, mentioning acreage and various livestock details.
- List relevant business experience, education, and specialized experience in the provided sections.
- Indicate any relevant industry organizations or community leadership roles that may benefit your advisory role.
- For current committee members, list the advisory committees you are a member of and your duration of service.
- Provide any sources of income exceeding $10,000 from non-primary employment, as applicable.
- Indicate if you have ever been convicted of a felony, explaining further on the attached continuation sheet if necessary.
- Complete the section regarding any judgments against you concerning federal programs, if applicable.
- Preferred name for official correspondence should be entered as you wish it to appear.
- Finally, sign and date the form. Ensure all information is accurate before submission.
- Upon final review, save your changes to the document. You can download, print, or share the completed form as needed.
Complete your USDA AD-755 form online efficiently today.
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