First Name ✻
Last Name ✻
Email ✻
Ranching Counties, please check all that apply ✻
Questions - Do you have any FSA program questions or concern you would like to be sure if covered during the session?
Demographics
The following information is optional. It is requested to help us document that UC Cooperative Extension is extending services and benefits to everyone who is interested and does not discriminate.
What is your gender?
Are you Hispanic or Latino? Hispanic or Latino: a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
What is your race? Check one or more.