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Pembroke Farmland Restoration:                           Apprenticeship Registration Form
The Black Oaks Center encourages UNITY & SUCCESS  for all Pembroke Township Farmers.
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Email *
Applicant Name *
Telephone # (texting OK?) *
Address *
Business Name Farm/Garden (if applicable)
Are you currently gardening or farming? *
If 'yes' for how many years?
Are you currently growing on? *
Total number or acres/sq ft of farm area are you cultivating? *
What are your farm goals, vision & dreams and how can the Apprenticeship help you reach these goals? *
*
Column 1
Vegetable production
Livestock
Perennial farming
High tunnel production
Grains & legumes
Dairy
Medicinal plants
Orchard/polycultures/fruit
Farm Equipment
Apiary
Other
I do not know
Which Apprenticeship activities do you want to participate in? *
Required
How much time can you devote ? *
What Session are you interested in participating in? *
Required
Are you interested in accommodations (prioritized for the submersion program)?
Clear selection
Are you interested in ultimately do collective farming in Pembroke Township? *
Thank you for completing the Pembroke Farmland Restoration Apprenticeship Registration form.
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