Farmer's Survey
Information About You
First Name
Last Name
Please select your region and closest major market.
Please select...
Southeast - Atlanta
Southeast - Charlotte
Midwest - Chicago
Northeast- Philadelphia
West- Austin
Other
The Working Farms Fund is currently being piloted metro Atlanta and metro Chicago. If your farm is serving either of those markets, we'll be in touch. If your farm is serving another metro market, please select "Other" and let us know where below. We'll keep your information on file for future pilots, and it helps us to know which geographies have interested farmers.
If other, specify here:
May The Conservation Fund contact you to discuss Working Farms Fund?
Please select...
Yes
No
Preferred Phone Number Type
Please select...
Home
Mobile
Work
Phone
Preferred Email Type
Please select...
Personal
Work
Other
Email
Preferred Mailing Address
Please select...
Home
Work
Other
Street Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Demographic Information
Gender
Please select...
Female
Male
Gender Non-Conforming
Which category below includes your age?
Please select...
<17
18-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
How would you identify your ethnicity?
Please select...
American Indian or Alaska Native
Asian
Black or African American
White
Hispanic/Latino
Multiracial
Native Hawaiian or other Pacific Islander
Are you a military veteran?
Please select...
Yes
No
Do or did your parents farm for a living?
Please select...
Yes
No
Current Situation
Name of your affiliated farm/farm business
Years farming
Size of current affiliated farm (in acres)
Affiliated Farm Street Address
Affiliated Farm City
Affiliated Farm State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Affiliated Farm Zip Code
Current Farm Relationship
Please select...
Own Land
Lease Land
Hired Farm Manager
Do you own your own farm business?
Please select...
Yes
No
How long has it been in operation?
Additional Information
USDA Programs
Are you currently enrolled or participating in any of the following USDA programs (check all that apply)?
FSA Conservation Reserve Program (CRP)
FSA Beginning Farmer and Rancher Loans
NRCS Conservation Stewardship Program (CSP)
FSA Direct Farm Ownership Loan Program
FSA Direct Operating Loan
FSA Direct Microloan Program
FSA Guaranteed Operating Loan Program
Environmental Quality Incentives Program (EQIP) Landscape
Environmental Quality Incentives Program (EQIP) Air Quality Initiative
Environmental Quality Incentives Program (EQIP) on Organic Initiative
Environmental Quality Incentives Program (EQIP) on Farm Energy Initiative
Environmental Quality Incentives Program (EQIP) High Tunnel Initiative
What categories of agricultural products do you produce on your farm (e.g. livestock, vegetables, fruits, etc.)?
Please describe as concisely as possible. 250 character limit.
What sustainable management practices and principles (e.g. organic, no-till, cover crops, etc.) do you follow if any?
Please describe as concisely as possible. 250 character limit.
Primary Markets
What are the primary markets where you sell your farm products (check all that apply)?
Roadside Stand
Farmer's Market
Grocery
CSA
Restaurants
Hospital, School, Large Scale Buyer
Agricultural Cooperative
Other Markets
Your Land Access Needs
If financially viable, would you want to own your own farmland?
Please select...
Yes
No
Indicate what acreage range this farm would fall into?
Please select...
Less than 5 acres
5-15 acres
16-30 acres
31-50 acres
51-75 acres
76-100 acres
100+ acres
Do you require housing on your farm (to house you, your family, house staff, etc.)?
Please select...
No
Yes
How important is it that you live within a one-hour drive of a major city?
Please select...
Not Important
Somewhat important
Important
Very Important
When considering a future farm location, which county (or counties) and state would best align with your existing markets?
What additional infrastructure needs or other factors are
most
important to you when considering a potential farm site (e.g. existence of well, fencing, etc.)?
Please describe as concisely as possible. 500 character limit.
Briefly describe your desired timing for entry into the Working Farms Fund Program and for leasing/purchasing land (e.g. enter program ASAP, buy land within 10 years; enter program in 1 year, buy land in 5 years; etc.).
Please describe as concisely as possible. 250 character limit.
Contact Information