West Georgia Beginner Farmer Development Program & Journeyman Certificate Enrollment Form

West Georgia Beginner Farmer Development Program & Journeyman Certificate Enrollment Form

Program Cost: $75
Deadline: December 10, 2018

Applicant Requirements: The program targets new and beginner farmers in
Carroll, Douglas, South Fulton and surrounding area. Applicants are accepted
into the training program based on slot availability.

The Program Includes:

Farm Business Planning and Finance Management
Hands-on Field Production Training
Classroom-Based Vegetable Production Training & Technical Assistance

Each application will be reviewed by our committee within 48 hours of receipt.
Based on the information provided, the applicant will be recommended and
paired with a training provider. The training program can range from 9 to 12
months.
Name *

First Name Last Name
Age* (Optional)
Race/Ethnicity* (optional)
Gender* (optional)
Are you a Veteran? *

Yes No
Primary Language: *
Farm name and location (if any):
Farm website and social media (if any):

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email *
example@example.com
Phone Number *

- Area Code Phone Number
1. How did you hear about the Beginner Farmer Training Program? *
2. What prior experience have you had either working on farms or gardeningetc.? (Please include farm names, location, acreage, growing practices, lengthof experience and other relevant details.) *
3. Are you currently gardening or farming? If so, please describe yourgrowing efforts in more detail here (size of plot, crops you’re growing,whether you’re selling commercially, etc.): *
4. What are your top 3 goals in relation to farming? *
5. How do you believe this program will help you achieve these goals? *
6. What do you hope to have learned regarding farming by the end of yourtraining? *
7. Have you recently attended any gardening and/or farming conferences,workshops, classes, field days, webinars, etc.? If so, please list: *
8. Do you have any farming experience? *

Yes No
9. Have you operated a farm/garden for less than 10 years? *

Yes No
10. Do you have fulltime employment other than farming? *

Yes No
11. Please indicate which farming sectors below you are most interested inreceiving hands-on training in. *

Vegetables Fruit Cut flowers Permaculture/Agro-forestry Livestock Grains Herbs Added Value
12. Are you interested in receiving technical assistance with obtainingresources for farm operations? *

Yes No
13. What are your biggest impediments to starting or expanding your farmbusiness? Circle two at most. *

Training Access to capital Access to land Business technical assistance Access to labor
14. What days of the week are most convenient for you do attend hands ontraining with approved farm partners? *

Monday Tuesday Wednesday Thursday Friday Varies
15. Do you have a preference of location for attending hands on field training? Provide a general location.
Enrollment Fee

Enrollment Fee $ 75.00

Total $ 0.00
Should be Empty: