TSU Agriculture Veteran Boot Camp (3-Day) Memphis, Tennessee - Registration Form. Event Time: March 14-16, 2024 @ 8:30 a.m. Location: Agricenter International, 7777 Walnut Grove Drive, Memphis, TN 38120. Contacts: Ardis Porter, aporter@agricenter.org; Anonya Amenyenu, aakuley@tnstate.edu

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TSU Agriculture Veteran Boot Camp (3-Day) Memphis, Tennessee - Registration Form. Event Time: March 14-16, 2024 @ 8:30 a.m. Location: Agricenter International, 7777 Walnut Grove Drive, Memphis, TN 38120. Contacts: Ardis Porter, aporter@agricenter.org; Anonya Amenyenu, aakuley@tnstate.edu

1. Name *

2. Email *

3. Organization

4. State *

5. County

6. Would you need a hotel room ?(Hotel rooms are limited and available to those outside Memphis, TN) - Holiday Inn and Suites Memphis-Wolfchase Galleria, 2751 New Brunswick Road, Memphis, TN 38133 *

Yes

7. What age group are you in?

Under 25 years old

26 - 34 years old

35 - 44 years old

45 - 54 years old

55 + years old

Clear selection

8. Please specify your ethnicity?

African

Asian

American Indian

Black or African American

Caucasian

Hispanic, Latino or Spanish origin

Native Hawaiian or other Pacific Islander

Middle Eastern

Other:

9. To which gender do you identify?

Female

Male

Prefer not to answer

Other:

10. Current employment status?

Employed

Unemployed

Retired

Self Employed

11. Are you a veteran?

Yes

Clear selection

12. Which branch of the U.S. Military did you belong to?

U.S. Army

U.S. Navy

U.S. Air Force

U.S. Marine Corps

U.S. Coast Guard

Clear selection

13. What are your interest in attending the Agriculture Veteran Boot Camp? (please list below)

14. What are your interest in our planned Farm Tours during the Agriculture Veteran Boot Camp? (please list below) ?

15. Which Farm Tour would you like to attend? Saturday, March 16 Tour 1

(11:30-1:30pm) - Alpha Omega Veterans Services, Inc. (The Urban Farm and Garden Program - Memphis, TN) www.alphaomegaveterans.org

Yes

Clear selection

16. Which Farm Tour would you like to attend? Saturday, March 16 Tour 2

(11:30-1:30pm) - Duck Unlimited

(conservation) www.ducks.org

Yes

Clear selection

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