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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 workshop/event?
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Word of mouth
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I'd like to pitch in to help cover costs of this workshop.
Most Quivira events are free! By contributing you help ensure we're able to put on the next event.
Yes
No
Amount I'd like to chip in
Total
Credit Card
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?
Which Webinar would you like to Register for?
October 22: Getting Started with USDA
October 29: Farm Service Agency: Loans
November 12: Farm Service Agency: Programs
November 19: Rural Development / Risk Management
November 26: Natural Resources Conservation Service: Programs
Select All
Additional Information
Do 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 questions
Please describe your requested accommodations or access needs below:
Knowledge inventory/Pre-event survey
Are you willing to engage in a quick knowledge inventory/pre-event survey?
Yes
No
Answering these questions helps us measure the impact of our programming. Thank you in advance!
Name
This field is for validation purposes and should be left unchanged.
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