America 250 Veteran Intake Form

In partnership with America250, to celebrate America's 250th Birthday, the Farmer Veteran Coalition is creating a digital library on our website showcasing Farmer Veterans from across the country. Farms will receive national recognition. 

Please complete this form by June 12th.

About the Veteran

First and Last name

Email address

Military Branch

Tell us about your military background.

How has the Farmer Veteran Coalition impacted you and/or your agriculture business? 

Please upload a picture of yourself on the farm.

About the Farm

Farm Name

Farm location?

Please select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau

Farm Website 

Farm Social Media. Please list each platform with the exact account names/handles.       Example: Instagram – @greenacresfarm | Facebook – Green Acres Farm 

Do you have an online store? If so, include the direct link.  

Do you have a physical farm store? Can your products be found in other stores? If so, please include addresses and/or store names.  

Describe your agriculture business. 

Is your farm HBH-certified?                                                                                                                Want to get certified? Apply here: https://farmvetco.org/hbh/   

YesNoPending Approval

Is your farm on MarketMaker (https://foodmarketmaker.com/) ?

YesNo

What is your MarketMaker profile link?

Transition into Agriculture

What made you get into agriculture after your military service? 

In what ways does farming continue your sense of service, and what does being an American farmer mean to you personally? 

Please upload a short video (up to 60 seconds) filmed on your farm introducing yourself and your agricultural business.
In your video, please share your name, where you’re from, your military background, farm name, and a brief description of your operation. Feel free to highlight anything that makes your farm unique — such as livestock, crops, a farm store, daily operations, or family involvement.                                                                                                If you are having trouble uploading your video below, feel free to email it to diego@farmvetco.org 

By submitting this form, I authorize the Farmer Veteran Coalition to use the information provided for promotional and communications purposes, including features on its website, social media platforms, newsletters, and press releases. 

I agree