Reparations Map Application
We are creating a "reparations database" to help transfer land, money, training, and resources to frontlines farmer-activists. Please describe your project and your specific needs (how many dollars, acres, etc.)
Email address *
What is your full name?
Your answer
What is the name of your project?
Your answer
What is your city and state?
This will determine the location of your pin on the map, so indicate the location of your project even if its not your current residence. (NOTE that for privacy reasons you may choose to locate your pin in the general area of your project and not at your precise address.)
Your answer
Provide contact information that can be made public on the database. *
List your preferred website, email, phone number, snail mail or other contact information so people with resources can reach out to you to support your project. (NOTE that for security reasons you may decide to only list your website as opposed to your personal contact information)
Your answer
Write a paragraph explaining your project and your SPECIFIC needs and rationale, e.g. "We are a Black family with 10 years of farming experience in need of 15-30 acres of land in North Carolina to start a pick your own berry operation."
100 words or less please
Your answer
Please include a link to the website for this project (if applicable.)
Your answer
How do we know you? *
Note that this database is designed primarily for graduates of Soul Fire Farm's Black Latinx Farmers Immersion, members of the Northeast Farmers of Color network, or National Black Food and Justice Alliance, though other farmers of color can apply to be included. Please provide a reference if we do not know you through these networks.
Your answer
What are the races/ethnicities of the leadership of this project?
Your answer
Should your project be funded, would you like to receive those contributions directly?
Anything else you want to share?
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Soul Fire Farm. Report Abuse - Terms of Service