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Farminar on Women, Equity and the Farm Bill Registration Form
This webinar requires access to a computer, stable internet, video and audio.
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First and Last Name
Your answer
Email address
Your answer
Are you a PA-WAgN (Pennsylvania Women's Agricultural Network) Member?
Yes
No
I want to learn more.
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PA-WaGN seeks to draw an audience of people with a range of diverse identities. Do you identify as any of the following?
Black, Person of Color, Indigenous
LGBTQ
Veteran
Immigrant, New American, or First-Generation American
Refugee
Differently abled
Woman, Femme, or Gender oppressed
Other
How would you describe your role or sector in food systems work? Check all that apply.
Community or Policy Advocate
Consultant
Primary Caregiver / Food-Preparer in my Household
Direct service provider
Educator or Researcher
Elected Official
Food service, retail, restaurant, etc.
Food hub employee
Food justice advocate
Food producer
Rural Farmer / Gardener
Urban farmer / Gardener
Government agency staff
Healthcare Provider or Practitioner
Nutritionist/Dietician
Student
Other:
Have you or your organization ever applied for USDA Funding
Yes
No
Not sure
Clear selection
If yes, were you awarded funding?
Yes
No
Maybe
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On a scale of 1 to 5, how knowledgeable do you feel about the Farm Bill?
5- Very knowledgeable
4 - Somewhat knowledgeable
3 - A bit knowledgable
2 - Not very knowledgable
1- Don't know anything about it!
Clear selection
What is one thing you want to learn from this webinar?
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What is your zip code?
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