Farm Families Nominations Form

Farm Families Nominations Form
For which award are you applying?
County
Current Owners
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Location of Farm
Legal Description: Township/Range/Section
# Acres originally acquired
# Acres still retained
# Acres still farmed
Original Owner's Name
Year Acquired
Crops and/or Livestock produced
Next Owner & Spouse
Year Acquired
Relationship to original family owner
What would you like inscribed on your plaque?
Would you be interested in having your farm highlighted on social media?
Throughout the application process, if we need to reach you for additional information, we will be using the email address and phone number you provide. Please be mindful of this and check your emails/voicemails often!! Thank you!!
Should be Empty: