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RAA Regen Poultry Training Fall 2024 Cohort
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First and Last Name
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Your answer
Email Address
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Your answer
Address: City, State
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Your answer
Address: County
*
Your answer
Are you currently farming?
*
Yes
No
Do you currently have access to land?
Yes
No
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If yes * What is your farm address?
Your answer
What is your age?
Under 18
18-24
25-34
35-54
Over 55
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How do you describe your ethnicity
Native American Indian or Alaska Native
Hispanic/Latino
Asian/Pacific Islander
Black/African American
Native Hawaiian or Other Pacific Islander
White/Caucasian
Other/Prefer to self-describe
Don’t wish to answer
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What is your gender identity?
*
Female
Male
Non-Binary/Third Gender
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Are you seeking a scholarship for the training?
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Partial Scholarship
Full Scholarship
Other Amount
No Scholarship Needed
If other amount* please specify here
Your answer
What is your total annual income?
*
$0-$30,000
$31,000-$60,000
$60,000-$90,000
$91,000-$120,000
$120,000+
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How did you find out about Regenerative Poultry Production Training?
Your answer
What motivates you to take the Regenerative Poultry Production Training?
Your answer
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