EAT! Small-Farm Apprenticeship Program 2024/2025

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ENROLLMENT APPLICATION

Welcome to the next step in becoming part of our Small-Farm Apprenticeship Community!
Please complete the following enrollment form and make sure to tell us about your goals, needs and expectations
Once you've completed the online enrollment process...you're all set to come to class (Check our website for updates regarding class times / topics being covered / etc.)
We look forward to being part of your Farming Journey!

Email *

Name *

Address *

Phone (best number to call/text) *

Are you a Veteran *

Yes

City of Residence *

Norco

Corona

Eastvale

Jurupa Valley

Ontario

Riverside

Other:

Age (Information for Grant Data Tracking Purposes) *

15-17

18-25

26-30

31-40

41-50

51-60

61-70

71-80

81-100+

Cultural Background

*Please tell us about yourself---We view people as individuals, and therefore don't want you to simply "Check-a-Box" (That section is coming up next!)

Ethnicity

(Information for Grant Data Tracking Purposes)

Please Check the Box that Best Represents your Ethnicity

Indigenous, American Indian or Alaska Native

Asian or Asian American

Black, African American or African

Hispanic

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Multi-Ethnic

Not Specified

Gender *

Female

Male

Non-Binary / Gender Fluid / Agender

Transgender

Data Not Collected

Preferred Pronouns

She/Her

He/Him

They/Them

Data Not Collected

Other:

Clear selection

Level of Education Completed *

GED/High School Diploma

Community College / Associates Degree

University/College Degree

Masters Degree

Professional Certification

Trade School / Apprenticeship Program

Other:

Required

Tell us about your experience with plants, animals, or agriculture in general?

What level of program participation are you interested in?

I'd like to learn some basics and expand my knowledge

I'd like to do some backyard farming (food for myself/family/friends)

I'd like to start or grow an agricultural business selling food or products to others

I'd like to join the EAT! Center's Small Farm Apprenticeship Program

Other:

Required

Do you want to start and run your own farm?

Yes

Undecided / Not sure yet

Other:

Clear selection

If you answered YES, what type of farm are you interested in creating?

Do you currently work full or part-time?

Do you currently attend College or Adult Education Programs?

How many hours per week can you commit to participating in the EAT! Small Farm Training Program?

Are you able to attend classes on Monday & Wednesday Evenings/Nights?

Yes

Can you commit to at least 8 hours of field practice each week at your property or at the EAT! Farm?

Yes

Clear selection

Why do you want to be a Small Farm Apprentice?

How did you find out about our program? *

Instagram

Facebook

Postcard Mailer

Word-of-Mouth

Other:

Required

A copy of your responses will be emailed to the address you provided.

Submit

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