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Farm Stewardship Application
Company
First Name
*
Last Name
*
Email Address
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Phone Number
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United States
+1
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1684
Andorra
+376
Angola
+244
Anguilla
+1264
Antigua and Barbuda
+1268
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1242
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1246
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1441
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1284
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1345
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1767
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1473
Guadeloupe
+590
Guam
+1671
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1876
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Macedonia (FYROM) (Македонија)
+389
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1664
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
Northern Mariana Islands
+1670
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy (Saint-Barthélemy)
+590
Saint Helena
+290
Saint Kitts and Nevis
+1869
Saint Lucia
+1758
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1784
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1721
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Swaziland
+268
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1868
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1649
Tuvalu
+688
U.S. Virgin Islands
+1340
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Address
*
City
*
State
*
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Kentucky
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
How did you hear about us?
*
Social Media
Event
Google Search
From a Friend/Word of Mouth
Other
Age
*
Preferred Pronouns
*
Male (He/His)
Female (She/Hers)
Other (They/Them)
Prefer not to discuss
What is your annual household income
*
We ask this for our records and reports only. You personalized info will not be shared outside of our organization and your answer will not affect your application.
How many people like in your household?
*
Why are you interested in participating in this program?
*
Do you have any experience with gardening or farming?
*
Yes
No
If yes, at what capacity?
*
What do you hope to learn from this program?
*
What is your experience working outside doing physical work?
*
Do you have issues with working in all weather conditions?
*
Yes
No
Do you have reliable transportation to our farm at 3188 S 1100 W?
*
Yes
No
What days and hours are you available to complete the 5 hours of hands on learning in the Farm Stewardship?
*
Which option do you want to participate in:
Full Season
Spring Module
Summer Module
Fall Module
Additional Comments
Information Summary
First Name
Last Name
Email Address
Phone Number
Address
City
State
Zip Code
How did you hear about us?
Age
Preferred Pronouns
What is your annual household income
How many people like in your household?
Why are you interested in participating in this program?
Do you have any experience with gardening or farming?
If yes, at what capacity?
What do you hope to learn from this program?
What is your experience working outside doing physical work?
Do you have issues with working in all weather conditions?
Do you have reliable transportation to our farm at 3188 S 1100 W?
What days and hours are you available to complete the 5 hours of hands on learning in the Farm Stewardship?
Which option do you want to participate in:
Additional Comments
Profile