Farmer Interest Form
Applicant Name
First Name
Last Name
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Name of Farm:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Farm Website (if applicable):
Which federal/state funding program are you experiencing delays from or need bridge funding until reimbursement for?
NRCS Environmental Quality Incentives Program (EQIP)
NRCS Conservation Stewardship Program (CSP)
USDA Regional Food System Infrastructure (RFSI) Grant
USDA Value-Added Producer Grant (VAPG)
Other
If "Other", Please Explain:
Please upload a copy of your award letter
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How much funding are you requesting?
Please provide a summary of the project, the full costs, partners, full award amount, and project impact on your operations:
Describe your current financial position, including any financial hardships, and explain how this grant will help sustain your farm operations while awaiting reimbursement:
This program is designed to bridge funding until reimbursement materializes to ensure we can help as many farms as possible. Do you agree to repay the grant within 30 days after reimbursement is received?
Yes
No
Do you qualify as a socially disadvantaged farmer under the USDA definition?
Yes
No
Unsure
How would you categorize your farm?
Certified Organic
Organic
Regenerative Organic Certified
Regenerative
Conventional
Other
List the primary crops and products grown on site:
How many acres under management for the entire farm/ranch?
How long has the farm been under your management?
Do you currently have a Conservation Plan or Carbon Farm Plan? If so, tell us which one and describe.
Please select which of the following conservation practices are currently implemented on your farm
Conservation Cover
Conservation Crop Rotation
Contour Buffer Strips
Cover Crop
Field Border
Filter Strip
Forage and Biomass Planting
Grassed Waterway
Hedgerow Planting
Herbaceous Wind Barriers
Mulching
Multistory Cropping
No-Till
Nutrient Management
Prescribed Grazing
Range Planting
Reduced-Till
Riparian Forest Buffer
Silvopasture
Strip-Cropping
Tree/Shrub Establishment
Vegetative Barrier Establishment
Windbreak/Shelterbelt Establishment
Other
What's the timing of the proposed project?
When is the funding needed by?
Is there additional information you would like to provide?
Submit
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