Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please check the boxes that apply to you:

Military Veteran interested in a farming occupation/career

Military Veteran who currently owns/works on a farm

Farmer interested in becoming involved with the Farmers Veterans Alliance Advisory Board

Agricultural Business interested in becoming involved with the Farmer Veterans Alliance Advisory Board

Other

Please select the following services in which you feel you would find the most value in as an Alliance Member:

Calendar of farmer training programs and conferences

Online educational farmer training resources

Online resources for agricultural educational programs at Illinois community colleges and universities

Mentorship/Fellowship programs for veterans interested in a farming career

Networking opportunities for veterans interested in a farming career

Would you like to receive occasional announcements and email updates from the Farmer Veteran Alliance?

Yes

No