Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. New Chapter Application Thank you for your interest in starting a new chapter of OEFFA! There are three steps to start a new chapter: Step 1: Fill out this application; return to OEFFA's Member Care Associate by submitting online, by email or mail Step 2: Obtain three signatures (chapter leader and two others) on a written request letter to accompany your application; return these to OEFFA's Member Care AssociateStep 3: Receive Board approval to move forward Let's get started with Step 1 by answering the questions below! OK Question Title * 1. The new chapter facilitator has the primary responsibility for setting up the chapter in accordance with OEFFA policy and identifying participants. Please provide this individual's contact information below (a chapter president may be elected at a later date, as determined by chapter membership): Name * Company/Farm Name * Address * Address 2 City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Email Address * Phone Number * OK Question Title * 2. Please select your preference for chapter leadership: Chapter facilitator can be named Chapter President I'd like to have the new chapter membership elect a president later Other (please specify the terms you'd like to use to structure your new chapter leadership): OK Question Title * 3. Enter the name for the new chapter below (or, note if the new chapter is yet to be named): OK Question Title * 4. Provide a description of the new chapter here: OK Question Title * 5. The new chapter is: Interest-based (i.e. organized around a common interest like "beekeeping" or "dairy"). By checking this box, I've assured that interest area(s) are identified in the description above. Geographically-based. By checking this box, I've assured that the counties, states, and/or areas served are identified in the description above. OK Question Title * 6. What is the primary goal or mission of the new chapter? OK Question Title * 7. Provide a description of the new chapter's target audience: OK Question Title * 8. Does the new chapter have any additional members interested in helping as a steering committee? Yes No OK Question Title * 9. Starting with the new chapter facilitator, please provide some background information for each chapter steering committee member known at the time of application, including any experience related to the proposed chapter). Facilitator description: Name, title or office within chapter, and description of chapter representative #2 (eg: Jane Doe, Secretary. Jane has been secretary of her local Pheasants Forever chapter for the past 4 years and is an avid gardener...) Name, title or office within chapter, and description of chapter representative #3 Name, title or office within chapter, and description of chapter representative #4 OK Question Title * 10. Including its chapter leader and steering committee, each new chapter must have a minimum six (6) members (representing different households) prior to the application being reviewed by the board. In the blanks below, please provide the contact information (including name, address, phone, email, and OEFFA membership status) for chapter members in addition to your steering committee. If you have a list longer than space allows, please email to firstname.lastname@example.org. Member 1: Member 2: Member 3: Member 4: Member 5: Member 6: Member 7: Member 8: Member 9: Member 10: OK Question Title * 11. The next several questions cover chapter functions you may or may not have started to think about. Just answer the questions to the best of your ability and when finished, rank your level of preparedness. I have a lot of questions before I'm ready. I'm about halfway to feeling ready. I feel ready to submit my application along with 3 signatures at the next board meeting. Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 12. Check all chapter activities that the new chapter may be interested in: Planning meetings Potlucks Festivals Chapter meet-up at annual conference (required) Digital/online meet-ups (webinars, Facebook live events, Zoom, etc.) Phone conferences calls Farm tours Fundraising events Workshops Film screenings Farm work days or builds Other (please specify) OK Question Title * 13. How often does the new chapter plan to meet? OK Question Title * 14. Where will the new chapter meetings be held? (online meet ups and conference calls count) OK Question Title * 15. Check any online platforms that the new chapter is interested in using: Facebook group linked to OEFFA's page Google Groups Online discussion forum Unsure Other (please specify) OK Question Title * 16. Does the new chapter plan to set up a chapter email account? Yes No Unsure OK Question Title * 17. Does the new chapter plan to set up a bank account? Yes No Unsure OK OEFFA-ICIALLY DONE! REMEMBER TO ANSWER QUESTION #11, THEN CLICK HERE TO SUBMIT YOUR APPLICATION.