36th Annual National Black Farmers Association Conference
Attendee Information
Please fill name and contact information of attendees.
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Attendee
First Name
Last Name
Additional Attendee
First Name
Last Name
Additional Attendee
First Name
Last Name
Additional Attendee
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Level of Farming
*
Seeking More Information
Student (FFA, 4H, Undergrad, etc.)
New Beginning (less than 5 years)
Experienced (5+ years)
Size of Farm Operation
*
Check All That Apply
*
Limited Resource
Veteran
Woman
Hispanic
African American
American Indian/Alaska Native
Asian/Pacific Islander
N/A
Type of Farm Operation
*
Vegetable
Row Crop
Livestock
Aquaculture
Forestry
N/A
What commodities do you grow?
What livestock do you raise?
Did you participate in a USDA Discrimination Lawsuit
*
Black Farmers/Pigford
Native Farmers/Keepseagle
Women Farmers
Hispanic Farmers
N/A
Did you submit an application for the Discrimination Financial Assistance Program (DFAP)?
*
Yes, and I received an award.
Yes, I received an award with a lawyer or attorney.
Yes, but I was denied.
No, I did not submit an application.
What type of fertilizer have you used on your land? (For example: animal manure, sludge, biosolids, etc.)
Do you have a retirement/succession/transition plan for your farm, home, or land?
*
Yes
No
N/A
Is your property heirs property?
*
Yes
No
N/A
Do you have any questions, concerns, or something specific you would like to discuss?
Submit
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