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Fire Resilience Online Course: Registration Form
Thank you for your interest in joining our course. This online course and network is dedicated to helping California farmers and ranchers face a future with wildfire. Help us serve you by letting us know a little bit about you. THIS FORM WILL TAKE 2 MINUTES TO COMPLETE Why do we collect this information? This information helps us better target our educational materials and provide ongoing resources to the people that need it most. Once you have filled out this form you will be given direct access to the online course platform.
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* Indicates required question
Email
*
Your email
I am a... (select all that apply)
*
Farmer/Rancher/farmworker
Agricultural Professional (extension agent, service provider, etc)
Educator
Agricultural Advocate
Researcher
Other:
Required
What gender do you most identify as? (optional)
Your answer
What is your race / ethnicity? (optional)
Native American
African American
Latinx / Hispanic
White
Asian
Prefer not to say
Other:
County
*
Eg: Sonoma, Mendocino, Butte, Lake, etc..
Your answer
Region or Community
*
What community or region do you reside in or identify with? (eg: Capay Valley, Sierra Foothills)
Your answer
Zipcode (optional) - this will help us target our education and support efforts
Your answer
Do you want to be updated when there are in person "Wildfires TownHalls" in your area?
*
Yes
No
Optional: Comments
Your answer
RESEARCH: Would you be interested in participating in a research project with UC Davis on how small-scale farmers and ranchers are being impacted by wildfires?
*
Yes
No
Maybe
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