See For Yourself Application

Name *

Middle Name or Initial

Last Name *

Residence Address *

City *

State *

Zip *

County of Residence *

Mailing Address (if different)

City

State

Zip

County of Residence

Farm Address (if different)

City

State

Zip

County of Farm

Daytime/Business Phone *

Cell Phone

Email Address *

Farmland Counties *

Number of soybean acres you planted in 2018 *

Please indicate how many soybean acres you planted in 2018 *

0-500
501-1,000
1,001-2,000
2,001+

Please indicate how many soybean acres you will plant in 2019 *

0-500
501-1,000
1,001-2,000
2,001+

How many years have you actively produced soybeans in North Dakota? *

Please read and initial (by typing initials into the box below) to certify you are a North Dakota soybean producer, as defined by ND State Century Code. *

A producer is defined as: “any person that plants or causes to be planted a soybean crop in which the person has an ownership interest, with intent that upon maturity, the crop will be harvested; will have met the requirements of the above stated during the next available growing season or has met these requirements during the immediately preceding growing season. The term does not include an organic producer that has been exempted from the payment of assessments in accordance with federal law.”

Do you have another occupation in addition to farming? If yes, please describe that occupation and approximately how much time you spend working OFF the farm each week. *

What crops/livestock do you produce? *

Has the soybean checkoff provided value to your farm operation? If yes, please provide examples: *

Are you currently involved in any community organizations or groups? If yes, please list your roles and duties: *

Are you interested in serving the soybean industry in a leadership position in the future? If so, why? *

Please tell us why you would like to participate in the 2018 ND Soybean Council See for Yourself program and what you hope to learn: *

Please provide examples on how your participation in the See for Yourself program would benefit your soybean operation. *

How did you hear about the See for Yourself program? *

In your opinion, what are a few of the biggest issues facing the soybean industry today? *

What media do you use to gather farm information? *

Are you active on social media (Facebook, Twitter, Instagram, etc.)? Please list all that apply:

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