Groundswell Center Application Form: 2012 Farm Business Planning Course
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1. Welcome to our Online Application form.
If you have any difficulty with this online application, please contact us at 607-277-0180 or info@groundswellcenter.org. We can send you an application form by mail or email.
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1
. Your contact information:
Your contact information:
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
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2
. Please describe your farming experience and training to date, including any farm employment, internships, training programs, classes, workshops, etc.
Please describe your farming experience and training to date, including any farm employment, internships, training programs, classes, workshops, etc.
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3
. When do you expect to launch your farm enterprise?
When do you expect to launch your farm enterprise?
I am already farming
2012
2013
2014
Other
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4
. What is your land tenure situation? Check all that apply.
What is your land tenure situation? Check all that apply.
I own the land I plan to farm.
I plan to purchase land to farm.
I plan to lease land to farm.
I am actively looking for land at this time.
I will be applying to participate in the Groundswell Farm Enterprise Incubator.
Other (please specify)
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5
. Please provide a brief description of your farm business concept, including your location, product(s) and scale of operation.
Please provide a brief description of your farm business concept, including your location, product(s) and scale of operation.
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6
. Where and how do you plan to sell your products? Who are your target customers?
Where and how do you plan to sell your products? Who are your target customers?
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7
. What sources of capital do you plan to use (or look for) in order to start up your business? Check all that apply.
What sources of capital do you plan to use (or look for) in order to start up your business? Check all that apply.
Personal savings
Loans from family, friends
Equity investment from family, friends
Commercial bank loan
USDA Farm Services Agency loan
Other
I don't know
How much capital do you think you need in order to start your business?
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8
. Homework. This course is for those who are serious about running a successful farm-based enterprise. You will get the most benefit from the course by spending significant time between classes doing your own independent research and planning your business. Realistically, how much time will you able to spend each week on homework?
Homework. This course is for those who are serious about running a successful farm-based enterprise. You will get the most benefit from the course by spending significant time between classes doing your own independent research and planning your business. Realistically, how much time will you able to spend each week on homework?
Less than one hour per week
1-2 hours per week
3-4 hours per week
9
. Can you commit to attending all 8 classes, Thursdays from 6-9 pm on Jan 5 and 19, Feb 2 and 16, Mar 1,15 and 29, and Apr 12?
Can you commit to attending all 8 classes, Thursdays from 6-9 pm on Jan 5 and 19, Feb 2 and 16, Mar 1,15 and 29, and Apr 12?
Yes
No, or not sure (please explain)
Thank you so much for your interest in the Farm Business Planning Course! If you have any questions please don't hesitate to send an email to us at info@groundswellcenter.org.
The Farm Business Planning Team:
---Joanna Green, Groundswell Center for Local Food & Farming
---Monika Roth, Cornell Cooperative Extension of Tompkins County
---Matt LeRoux, Cornell Cooperative Extension of Tompkins County
---Leslie Ackerman, Alternatives Federal Credit Union Business Cents Program
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