Women\'s Agricultural Network

Instructions

Please fill out and submit this form to request financial assistance.

Please do not register until you hear back from us via email. Scholarship decisions are generally made within 5 business days. If you are approved, you will receive a code that you will use during the registration/payment process to activate a reduced registration fee.

Accessibility: If you require assistance filling out this form, please contact Beth Holtzman at beth.holtzman@uvm.edu or (802) 656-4826
Privacy Statement

The New Farmer Project does not share information that could personally identify participants. We do aggregate responses to better understand who our audience is, to demonstrate outcomes to funders and partners, and to help assess our own progress towards supporting all people who farm or want to farm.
Your Contact Information
Name * First Last
Email *

Be sure to double-check your email address to make sure it is correct. We will use the email address you provide here to communicate with you about your request.
Phone Number * ### - ### - ####
Street Address
City/Town
State
Postal / Zip Code
County *
Session Selection

Please select the session you wish to enroll in.
Please select the session(s) you wish to enroll in.
Growing Places
Is your request for financial assistance related to COVID-19 impacts on your financial situation?
Yes No
About You
Please tell us a little bit about yourself and why you wish to enroll in this class/workshop.
The year you were born.
Maximum of 4 digits. Currently Used: 0 digits.
Gender
Female Gender non-binary/gender queer Male Prefer not to answer Prefer to self describe

Note: We ask this question as one measure toward our goal of supporting all people who farm or want to farm.
With which of the following races or ethnic groups do you identify. You may select more than one.
African American/Black American Indian/Alaska Native East Asian Hawaiian Native/Pacific Islander Hispanic/Latinx Middle Eastern South Asian Southeast Asian White Prefer not to answer Prefer to self describe/other

Note: We ask this question as one measure toward our goal of supporting all people who farm or want to farm.
If you selected "prefer to self describe", please use this space to provide a brief description.
Are you a military veteran?
yes no
Additional information

If you wish, please use this space to provide any additional information.
Expectations and Agreements

Please check all of the items below.
By submitting this form I agree to: *
Show up, and, to the best of my ability, complete all assignments; Fill out the end-of-course evaluation survey; Contact the instructor if unexpected circumstances prevent me from fully participating in or completing the course.
Please send me updates from the New Farmer Project about additional classes, workshops, and opportunities for new and beginning farmers.
Yes No I'm already on your list
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Women\'s Agricultural Network

Instructions

Privacy Statement

Your Contact Information

Session Selection

About You

Expectations and Agreements