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KTA Business Advising Interest Form
Use this form if you are a farmer or rancher interested in Kitchen Table Advisors' 1:1 business advising program or you are a partner helping connect a farm or ranch to support.
Default Account (KTA ID)
About You (Person Filling Out This Form)
I am a farmer or rancher interested in the business advising program
I am a partner recommending a farmer or rancher to the business advising program
Your Name
*
Organization (if applicable)
Enter your email
*
example@example.com
Enter your phone number
Please enter a valid phone number.
Format: (000) 000-0000.
What is your relationship to the farmer or rancher?
Name of Farm/Ranch Business
*
Name of Farm / Ranch Owner(s)
*
Farmer/Rancher Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Farmer/Rancher Email
example@example.com
What is the primary county of operation of the farm / ranch?
*
Please Select
Alameda
Contra Costa
Fresno
Madera
Marin
Monterey
Napa
Sacramento
San Benito
San Mateo
Santa Clara
Santa Cruz
Solano
Sonoma
Stanislaus
Yolo
Not Sure
Other
KTA currently operates within the listed counties, if your county is not listed please select 'other'
If you selected "Other," please specify the county.
Years in operation
What does the business produce?
Why is the farmer/rancher a good fit for KTA's business advising program?
(A few sentences is great)
Do any of the farm or ranch owners identify with any of the following?
BIPOC (Black, Indigenous, or Person of Color)
Latino/a/e
Woman
Prefer not to answer
Not known
Submit
Should be Empty: