Name *

First Name

Last Name

Have you been farming for less than 10 years?? *

Yes

No

Not Applicable

Do you operate a small farm (less than $250,000 in gross sales annually)? *

Yes

No

Not Applicable

Are you a Military Veteran? *

Yes

No

How do you identify? *

African American

Asian

Hispanic

Native American

White

Other

Prefer not to answer