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I would like to join the Quivira Coalition email list.
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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!
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Demographics
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.
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 Information
Do you require special accommodations or have access needs you'd like us to be aware of?
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No
While we cannot accommodate all access needs, we will do our best! We will reach out with any additional questions.
Please describe your requested accommodations or access needs below:
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