Farmer Fund Relief Application (Farm Employees)
Fill out this application form for The Farmer Fund to request financial assistance for medical relief aid. If you have questions, please email Meg Darnell at meg@georgiaorganics.org 

PLEASE NOTE: This application is for FARM EMPLOYEES (farm owners should use this form)
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First Name *
Last Name *
Email Address *
Phone Number *
Race(s) *
Gender(s) *
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