Name
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First Name
Last Name
Age
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Email
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Home Street Address
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City
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Zip code
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Phone
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(###)
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Is your mailing address the same as your home address?
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Are you married?
If yes, please share your spouse's name
Do you have children?
If you do have children, how many?
Who referred you to CommonGround Kansas?
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What efforts are you interested in?
What type of farm do you and/or your family operate?
Select your main role on the farm.
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Do you work off the farm?
If you do work off the farm, please share where you work and what you do?
Do you farm with family?
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If you do farm with family, please tell us about the family you farm with.
Please select your ag topic(s) of focus or expertise.
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How do you feel about public speaking?
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Have you received any public speaking training?
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Please rank your interest and experience in writing.
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Please list below your social media sites and searchable name, handle or URL.
Please list any or all of the following Facebook, Twitter, Instagram, YouTube, Pinterest, TikTok
What are your hobbies?
Please select any ag associations you belong to or are involved with.
Please list any ag associations you are involved in that are not listed above.
What is your involvement in any of the associations you've listed.
List any non-ag clubs or organizations you are part of and your roles.
Why do you personally want to share the truth about how food is raised with consumers?
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Tell us a quick story about you and your farm.
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What is your t-shirt size?
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Is there any focus areas that you'd like more training in?
Anything else you'd like to share?