Open Farm Tours Registration
Contact Information
First Name
Last Name
e-mail address
Phone number
Street Address
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State/Province
Zip/Postal Code
Country
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Afghanistan
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About You
This information has no bearing on your acceptance into any of New Entry's programs, but we have to record all participant demographic information for grant reporting purposes. This information is not required but greatly appreciated.
Race/Ethnicity
Please select...
White
Hispanic, Latino, or Spanish
Black or African American
Asian
American Indian or Alaskan Native
Middle Eastern or North African
Native Hawaiian or Other Pacific Islanders
Some Other Race or Ethnicity
Gender
Please select...
Male
Female
Transgender
Nonbinary / Enby / NB
Queer
Gender non-conforming
Prefer not to disclose
Other
Race/Ethnicity Other (Please describe)
In what country were you born?
What is your primary language?
Level of Education
Please select...
Grade school
Some high school
High school diploma
Some college
2-Year College Gradaute
4-Year College Graduate
Post Graduate
Are you a U.S. veteran?
Yes
No
Workshop Selections
Which of the following workshops are you registering for:
07/30/2023
How did you hear about this farm tour?
Registration indicator
Yes
Contact Information