DIY 2025 General InformationName(Required) First Last PhoneEmail(Required) I would like to join the Quivira Coalition email list. Yes How many people will be attending with you? (if any)(Required)Address(Required) City State / Province / Region ZIP / Postal Code Organization affiliationName 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 affiliationNavajo Nation Chapter Affiliation (if applicable)Do you identify as a historically underserved producer as defined by the USDA?(Required) Yes No Not sure This includes: Beginning; Socially Disadvantaged; Veterans; and Limited Resource farmers or ranchers. Check all that apply to you(Required) Farmer Rancher Gardener Sheepherder Producer CLUPC member Land Board Land Steward Do you have any of the following? (check all that apply)(Required) Grazing Permit Farm Permit Tribal Ranch Lease NM Rangeland Lease None Other Will you be bringing your own soil sample?(Required) Yes No Not sure Instructors can provide soil samples if you will not be bringing your own. We will be sending more information about how to collect your sample.How did you hear about this workshop/event?(Required) Word of mouth Social media Website Newsletter Podcast Radio Print flyer Newspaper Other DemographicsThese questions will 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 education@quiviracoalition.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?(Required) 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:PhoneThis field is for validation purposes and should be left unchanged. Δ
