Mentor 2

Organizational information

Organization affiliation(Required)

Name of ranch, farm, organization, agency, institution, etc. with whom you are affiliated.

Role at above organization or affiliation(Required)

Demographic information

These 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.

What gender do you identify with?

With what race(s) and/or ethnicity(ies) do you identify?

Event-specific information

What type of operation do you have?

Have you worked with beginning agrarians previously?

For how many years have you been working in agriculture?

Organizational information

Organization affiliation(Required)

Name of ranch, farm, organization, agency, institution, etc. with whom you are affiliated.

Role at above organization or affiliation(Required)

Demographic information

What gender do you identify with?

With what race(s) and/or ethnicity(ies) do you identify?

Event-specific information

What type of operation do you have?

Have you worked with beginning agrarians previously?

For how many years have you been working in agriculture?

Contact information

Organizational information

Demographic information

Event-specific information

Contact information

Organizational information

Demographic information

Event-specific information