Mentee Application

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Mentee Program Application
Mentorships are available at this time in Wisconsin, Minnesota, Iowa, Illinois, Indiana, Michigan, North Dakota, and South Dakota.

First Name*

Last Name*

Email Address*

Home Phone

Cell Phone

Farm / Business Name

Address, line 1*

Address, line 2

City*

Country

State*

Zip Code*

Are you certified organic?*

Yes No

How many years?

What crops or livestock do you produce?*

Where do you market your products?*

List your organic learning experiences including workshops, field days, and internships:*

Why do you want to be mentored? (Include the specific areas of production.)*

If you know of an organic farmer near you that you'd like as your mentor, please provide as much contact information as you can:

Are you interested in connecting with a business mentor in addition to your farmer mentor (at no additional cost)?*

Yes No Maybe

I am willing to fulfill the following expectations:

• Attend the MOSES Organic Farming Conference virtually in 2021 and in person in La Crosse, WI, in 2022. (You get one registration to each conference as a mentee.)
• Have the mentor visit my farm at least once during the season.
• Visit my Mentor's farm at least once during the season. (MOSES will reimburse mileage.)
• Communicate regularly with my mentor via phone or email about farming issues at least twice a month.
• Upon acceptance to the program, pay $350 to participate. (Pay this fee when you register for the 2021 MOSES Conference.)
• Communicate progress with the program coordinator, periodically throughout the year via emails, phone, or by responding to written surveys.

Yes, I agree to the expectations.*

Scholarships

We have a limited number of scholarships for farmers in these categories.
(Select all that apply to you.)

Veteran

Yes No

Beginning Farmer

with 1-3 years experience with 4-6 years of experience with 7-10 years of experience not a beginning farmer

Socially Disadvantaged Farmer or Rancher:

While You're Here...
Sign up or change your subscription settings for MOSES publications and event notices.

Please select which publications you'd like to receive:

Organic Broadcaster newspaper (print edition)

Yes No

Organic Broadcaster newspaper (emailed edition)

Yes No

Organic Link (monthly enews)

Yes No

MOSES Conference Registration Guide (mailed late November)

Yes No

Check if you would like to receive notice about events for: (Learn more about these projects here.)

New Organic Stewards (farming 5 years or less)

Yes No

In Her Boots (farming support for women)

Yes No

Notes

Submit Application

Success! Your application has been submitted. You will receive a confirmation email shortly.

Applications will be reviewed and matches made in December.

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