climate General InformationName(Required) First Last Phone(Required)Email RecommendedI would like to join the Quivira Coalition email list. Yes Location City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County Organization affiliation Name of ranch, farm, organization, agency, institution, etc. with whom you are affiliated. You're also welcome to put NA if you're coming as yourself!Role at above organization or affiliation How did you hear about this project? Word of mouth Social media Website Newsletter Podcast Radio Print flyer Newspaper Other I'd prefer to receive additional information by phone by email DemographicsThis project prioritizes USDA-defined Historically Underserved Producers. These questions will also help us at the Quivira Coalition continue to improve antiracism, diversity, equity, and inclusion in all our programs. Certain questions are optional: you are not required to enter a response about your gender, race, ethnicity or access needs. If you have suggestions or resources you would like to share, please email us at firstname.lastname@example.org.I (or my organization) most strongly identify with the following group(s): Academic (student/researcher/instructor) Established rancher/farmer/producer Beginning rancher/farmer/producer Government agency Nonprofit/foundation Business Tribal (member/leadership/entity) Media Interested youth (25 and under) Other What gender do you identify with? Do you identify as BIPOC (Black, Indigenous, and/or other Person of Color)? Yes No With what race(s) and/or ethnicity(ies) do you identify? Additional InformationDo you require special accommodations or have access needs you'd like us to be aware of? Yes No While we cannot accommodate all access needs we will do our best! We will reach out with any additional questionsPlease describe your requested accommodations or access needs below:EmailThis field is for validation purposes and should be left unchanged.