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SEMAP Technical Assistance Request Form
For beginning farmers (farming for 10 years or less)
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Please use this form to request technical assistance for your farm business from SEMAP. In many cases, SEMAP can provide technical assistance for free or for a subsidized cost - depending on the scope of your project. Questions can be sent to Karen at
kschwalbe@semaponline.org
Your First & Last Name
*
Your answer
Farm Name
*
Your answer
Farm Address (Street)
*
Your answer
Farm Address (City, State)
*
Your answer
Full Mailing Address (if different from above)
Your answer
Your Phone
*
Your answer
Email Address
*
Your answer
Best way to contact you.
*
Email
Phone
Facebook Page or Website URL
Your answer
Within the scope of your farm business management and marketing needs, what area(s) would you like to get one-on-one assistance? (e.g. Payroll, QuickBooks, Finance, Insurance, Social Media, Branding, Marketing, E-commerce, etc.)
*
Your answer
What are you hoping to gain from this assistance?
*
Your answer
Do you already know a particular consultant you would like to get assistance from?
*
Yes
No
If yes, who?
Your answer
How would you prefer to be matched with a consultant?
*
I’d prefer to have SEMAP match me with a consultant
I’d prefer to be given options to choose from
Please let us know which of the following apply to you: (check all that apply)
*
I am a farm owner/manager
I am an aspiring farm owner/manager
I am a farmworker
I do not work on a farm
Required
Have you owned/managed a farm for less than 10 years, or plan to start a farm soon?
*
Yes
No
Required
What year did you first start operating a farm, or what year do you plan to start? (approximation is fine)
*
Your answer
What farm products do you or will you produce?
Your answer
Does your farm sell, or plan to sell direct to consumers?
*
Yes
No
Do you identify as any of the following? (check all that apply)
A woman
An immigrant
A veteran
Hispanic or Latino (any race)
Asian or Asian American
Black or African American
Native American or Alaskan Native
Native Hawaiian or Pacific Islander
Is there anything else you'd like us to know?
Your answer
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