Has your farm been in business for at least 3 years OR do you have at least three years' previous experience owning or managing a farm?* Yes No Do you expect your farm to have gross sales of at least $20,000 this year?* Yes No We realize that there may be systemic barriers that create challenges to meeting these eligibility requirements for some farmers and farm businesses. If you don’t meet these requirements and are interested in participating in the program, check here, submit this form, and we will contact you. Check here Contact InformationFarm Business Name* Name* First Last Gender Pronouns Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Which of these best describe your race? Check all that apply. If you want to provide more specific information, you can check "other" and add a comment there. White Black or African American Latina, Latinx, Latino Indigenous, First Nations, American Indian or Alaskan Native Asian (including East Asian, South Asian, Southeast Asian) Native Hawaiian or other Pacific Islander Arab, Persian, or other peoples of the "Middle East" Prefer not to answer Other (please specify) Other: Add more: I am... Female Male Non-Binary Transgender Prefer not to say Other Other: Say more Are you a military veteran? Yes No Optionally, what other identities do you want us to know about you? (For example, class background, disability identity, religious affiliation, or any other identity you feel is relevant.)Your farm's total acreage*Your farm's acreage under production*How many people would you like to register to attend all three workshops? (Up to 3 per farm, employees are welcome)* Is there anything you would like us to know so that we can support your fullest participation in this workshop? For example, translation/interpretation, or any additional background information about yourself and learning style. Please select which workshop series you would like to attend.* Diversified Cohort Livestock Cohort Registration and PaymentPlease enter how much you are paying for registration. Pay what you can, between $25-$500. Note that your registration fee will be returned to you upon full completion of the program. We aim to make our programs accessible to all farmers so the registration fee is a self-determined sliding scale. Here are some suggested parameters to guide you in determining the amount to pay for registration. $25+ - Suggested amount for members of our community who have been affected by systemic oppression, namely farmers who identify as BIPOC, LGBTQ+, and/or with disability Up to $100 - Suggested amount to help alleviate any winter cash flow concerns, and/or if you are farming without long-term access to land Up to $250 - Suggested amount if this is a business expense for your farm and/or you are farming with long-term access to land Up to $500 - Suggested amount if this is a business expense for your farm, you are farming with long-term access to land, and/or earn through farming at least the typical annual salary for “Farming, Fishing and Forestry”, according to the MIT Living Wage Calculator ($40,510).Price Total $0.00 Credit Card*Card Details Cardholder Name
