The Soil Stewards Small Farm Outreach Registration Form

Thank you for your interest in The Soil Stewards Small Farm Outreach!

Please complete this form to register on-farm or online demonstration and technical assistance. A member of our team will follow up with you to confirm your session.

Section 1: Participant Information

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1. Participant First Name (Required.)

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2. Participant Last Name (Required.)

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3. Participant Email Address (Required.)

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4. Participant Phone Number (Required.)

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5. Type of support requested? (Required.)

Demonstration of conservation practices

Storm-Ready Small Farm review

Technical assistance with NRCS programs

Technical assistance with FSA process

Other (please specify)

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6. Preferred dates requested? (Required.)

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7. Format requested? (Required.)

On-site (at your farm)

On-site (at another farm)

Online

Community Event

Other (please specify)

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8. Farm Location (Required.)

Beaufort County

Colleton County

Hampton County

Jasper County

Other (please specify)

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9. Current farm status? (Required.)

Seasoned farmer (10 or more years experience)

Intermediate farmer (5-9 years experience)

Beginning farmer (0-4 years experience)

Other (please specify)

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10. Participant age (Required.)

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11. Participant Race/Ethnicity — select all that apply (Required.)

African American/Black

Hispanic/Latino/a/x

Native American/Indigenous

Asian/Asian American

White

Native Hawaiian/Pacific Islander

Multiracial

Prefer not to answer

Prefer to self-describe

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12. How did you hear about The Soil Stewards? (Required.)

Friend or family member

Radio

Church or faith community

Community organization

Social media

Earth People Farms

Papa Brown Farms

Prince & Princess, Inc.

Flyer

Other

The Soil Stewards Small Farm Outreach Registration Form

Thank you for your interest in The Soil Stewards Small Farm Outreach!

Question Title

* 1. Participant First Name (Required.)

Question Title

* 2. Participant Last Name (Required.)

Question Title

* 3. Participant Email Address (Required.)

Question Title

* 4. Participant Phone Number (Required.)

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* 5. Type of support requested? (Required.)

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* 6. Preferred dates requested? (Required.)

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* 7. Format requested? (Required.)

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* 8. Farm Location (Required.)

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* 9. Current farm status? (Required.)

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* 10. Participant age (Required.)

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* 11. Participant Race/Ethnicity — select all that apply (Required.)

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* 12. How did you hear about The Soil Stewards? (Required.)

1. Participant First Name (Required.)

2. Participant Last Name (Required.)

3. Participant Email Address (Required.)

4. Participant Phone Number (Required.)

5. Type of support requested? (Required.)

6. Preferred dates requested? (Required.)

7. Format requested? (Required.)

8. Farm Location (Required.)

9. Current farm status? (Required.)

10. Participant age (Required.)

11. Participant Race/Ethnicity — select all that apply (Required.)

12. How did you hear about The Soil Stewards? (Required.)