2018 Farm Safety Partner Submission Form
Thank you for participating in the 2018 Farm Safety Partner campaign.  Please tell us how you promoted farm safety during September 2018.  We appreciate your input.  Note:  Having your organization listed on the UMASH website as a partner is optional.
Sign in to Google to save your progress. Learn more
Your name (first and last) *
Your email address: *
Name of Organization, Group, School, etc. (if applicable)
Website URL (if applicable)
Location (State or Province) *
If outside the USA, name of country:
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities.

Does this form look suspicious? Report

Google Forms