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Please fill out the following form to help us pair you with a mentor. If you do not fit the eligibility requirements but would still like to participate, please email Andrea Smith at andrea@hdffa.org to discuss further. Thanks!

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* 1. Name

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* 2. Email

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* 3. Phone Number

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* 4. Farm or Ranch Name

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* 5. Farm or Ranch Address (please include street address, city, and zip code)

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* 6. How many years of experience do you have owning and operating an agricultural business?

0 20+
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i We adjusted the number you entered based on the slider’s scale.

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* 7. Is your farm/ranch a current High Desert Food & Farm Alliance partner, or are you a member of the Central Oregon Flower Collective? If not, you are not eligible to participate as a mentee. If you'd like to become a partner, please visit http://hdffa.org/join-our-network/ or email Andrea at andrea@hdffa.org. Scholarships are available!

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* 8. What do you grow or raise? Mark all that apply

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* 9. What areas of support are you looking for? Mark all that apply

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* 10. How would you like to work with your mentor? Mark all the apply

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* 11. If you selected that you'd like to meet at the mentor's farm, how far are you willing to travel?

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* 12. Are you willing to maintain timely communication with your assigned mentor?

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* 13. Is there any additional information that you’d like to share that may help us pair you with a mentor?

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