Empowering Rural Women in Ranching

Name *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do You Have Any Military Affiliation?

Please specify if you are currently serving, a veteran, or a military spouse.

Active-Duty Military Member

Veteran

Military Spouse

Do you identify as any of the following?

Please select all that apply:

First Responder

K-12 Teacher

Will tuition assistance be a primary determining factor for your ability to participate in our program? *

In offering tuition assistance we wish to make it feasible for individuals to attend who otherwise may not have sufficient financial resources to do so.

Yes

No

Do you self-identify as a woman? *

At Women in Ranching, we welcome all individuals who identify as women, regardless of the complexity of your identity. Our work and mission center around supporting women in all their diverse forms and lived experiences.

Yes

Do you self-identify as a member of an underrepresented group in agriculture?

This question is meant to help us ensure that we continue to center diversity, equity, and inclusion in our programming. Your response is optional, and you are not required to provide it. Our goal is to create a space that feels safe and supportive for anyone working to make space for themselves in land care and agriculture.

BIPOC (Black, Indigenous, and People of Color)

LGBTQIA2S+

Rural Community Member

Economically Disadvantaged

Disabled

New or Beginning in Agriculture