CISA TA Requests

Name

First Name Last Name

Farm/Business Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

In what topic area(s) would you like to get one-on-one assistance?

What are you hoping to gain from this assistance (please be specific and descriptive)?

How would you like to be matched with a consultant?

I’d prefer to have CISA match me with a consultant I'd like CISA to give me options to choose from I know a particular consultant I'd like to get assistance from

If you have a consultant in mind, who is it?

Please let us know your timeline and availability to receive one on one assistance.

I would like to start ASAP I would like to start within the next month I would like to start one to three months from now

(Optional) Are you a limited resource farmer?*

Yes No

* Check yes if, for both 2017 and 2018, your gross farm sales were no more than $180,300 AND your total household income was less than $30,280 for Berkshire County, $31,288 for Franklin County, $28,004 for Hampden County, $36,605 for Hampshire County, or $37,927 for Worcester County.

Is there anything else you'd like us to know?

CISA welcomes technical assistance requests from people of color, indigenous peoples, immigrants, people from working class backgrounds, women and LGBTQ people and others who are under-represented and historically disenfranchised in the agricultural food system. If your a member of one of these groups, you are encouraged to self-identify on your application form and strongly encouraged to apply.