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FACT's Capacity Building Grant Collaborator Form
Please complete this form if you are partnering on a Capacity Building Grant Project. All farms applying for a Capacity Building Grant must already hold at least one of the following certifications:

- Animal Welfare Approved (AWA) and affiliated certifications by A Greener World (AGW)
- Certified Humane
- Global Animal Partnership (GAP) steps 4 to 5

The application deadline for FACT's Fund-a-Farmer Grants is 5pm CST on December 2, 2019. Please review all the application guidelines at
Email address *
First Name *
Your answer
Last Name *
Your answer
Farm Name *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
City, State and Zip *
Your answer
Farm Website
Your answer
Which certification(s) do you current hold? *
Type and number of animals raised on your farm: *
Your answer
What is your relationship to the primary applicant? *
Your answer
Please describe how your farm will participate in the proposed project. *
Your answer
I certify that the farm(s) for which these funds are requested is a working independent family farm. This is a farm on which a family or individual owns the animals, is engaged in the day today management of the farm and its animals, derives a share of livelihood from the farm, and produces a livestock product for sale. By typing my name below, I acknowledge that the information provided in this application is accurate to the best of my knowledge. *
Your answer
A copy of your responses will be emailed to the address you provided.
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