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Grow Appalachia Scholarship Application for the Virginia Association of Biological Farming (VABF) Conference
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* Indicates required question
Email
*
Your email
Verify email address
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Phone number
Your answer
Have you farmed for income for 10 years or less?
*
Yes
No
Required
What is your age range? (optional)
19 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
56 - 60
61 - 65
66 - 70
71 +
I'd prefer not to say
Clear selection
What is your race? (Choose all that apply)
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
I'd prefer not to say
Required
What is your ethnicity?
*
Hispanic or Latino
Not Hispanic or Latino
I'd prefer not to say
How would you describe your gender?
*
Female
Male
Non-binary
Transgender
Intersex
I'd prefer not to say
Required
Please select one or more options for your pronouns.
*
she, her, hers
he, him, his
they, them, theirs
ze, hir, hirs
I'd prefer not to say
Required
If not listed above, please share your pronouns (optional)
Your answer
If applicable, what acreage did you farm this past year? (optional)
Less than 2,000 square feet
$2,000 sq ft - 1 acre
1 - 2 acres
2 - 4 acres
More than 4 acres
I'd prefer not to say
Clear selection
If applicable, what were your gross farm sales this past year? (optional)
$1-$4,999
$5,000 to $9,999
$10,000 to $24,999
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 and greater
I'd prefer not to say
Clear selection
What is your total household income? (optional)
$0
$1 to $9,999
$10,000 to $24,999
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 and greater
I'd prefer not to say
Clear selection
Do you farm full time or part time? (optional)
Full Time
Part Time
Clear selection
If you receive a scholarship for the conference, do you agree to complete a post attendance survey? By selecting I agree, you agree to complete a post attendance survey that would take 5 minutes or less.
*
Yes
No
Would you like to be added to our email list and receive Grow Appalachia's monthly newsletter? (optional)
*
Yes
No
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