Application for Pennsylvania Grazing Lands Coalition Mentorship

Contact information

First name

Last name

Street Address

City

State

Zip code

County

Primary phone

Primary phone type

MobileHomeWork

Email address

Are you a NRCS employee?

YesNo

Farm and program goals

Does your farm have a name?

What size is the farm? If your farm leases land include it in the total acres below.

Under 5 acres5 to 50 acres51 to 100 acres101+ acres

What is your farms annual gross revenue?

Under $10,000$10,000-$50,000$50,001-$100,000$100,000 +

Briefly describe your current or planned grazing operation (livestock type, system of management, market, organic, etc).

Please state a few of your goals for your farm or specific enterprise.

How do you plan to best communicate with your mentor? Keeping records will be used for reporting back to PA GLC regarding the program.

Is there any other relevant information or thoughts you'd like to include with your application?

Demographic Information

We value supporting a diverse participation and creating an welcoming environment for all. The following demographic information helps us reach out to various segments of our community and will not influence the selection process.

What is your age?

18-29 30-3940-4950-5960-6970+

What is your race/ethnicity?

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinxNative Hawaiian or other Pacific IslanderWhite or CaucasianPrefer not to answer

What's your gender?

FemaleMaleNon-binaryPrefer to self-describe

Prefer to self-describe

Contact Information