Drift Catcher Application

 
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1. Full Name
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2. Address (Street/City/State)
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3. Phone Number
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4. Email Address
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5. Why are you concerned about pesticide drift?
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6. Have you or your family members been exposed to pesticide drift? If so, please describe.
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7. Have you or others in your area ever taken action to try to stop pesticide drift from happening? If so, please describe.
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8. The drift catcher training will be an all-day event on a Saturday or Sunday. The actual pesticide monitoring happens for a week or two during the spring and summer and takes about 10 hours/week to complete. Are you able to make these commitments?
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9. Are you a member of any organizations that you could involve involve in this effort (examples: farmer organizations, environmental groups, etc.)? If so, which organizations?
10. Is there anything else you'd like us to know about you?
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