2023 Pest Management Meeting

✻ = Required

2023 Pest Management Meeting

NEW DATE: Tuesday, December 5

Time: 12:50 p.m. to 5:10 p.m

Location: Agricultural Center Meeting Room, 1432 Abbott Street, Salinas, CA

Participant's FIRST name ✻

Participant's LAST name ✻

I am a ✻

Crops that I grow or am interested in

Lettuce Brassicas Other Vegetables Berries Other

Company

e-mail ✻

Phone number

Invitation to Self-Identify Gender, Ethnicity, and Race

The following information is optional. It is confidential.
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.

1. What is your gender? Check one.

Man/boy Woman/girl Nonbinary Gender identity not listed Prefer not to state

2. Are you Hispanic or Latino? Check one.

Hispanic or Latino: a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

No, I am not Hispanic or Latino Yes, I am Hispanic or Latino Prefer not to state

3. What is your race? Check one or more.

AMERICAN INDIAN OR ALASKA NATIVE: a person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment. ASIAN: a person having origins in any of the original peoples of the Far East Southeast Asia or the Indian subcontinent including for example Cambodia China India Japan Korea Malaysia Pakistan the Philippine Islands Thailand and Vietnam. BLACK OR AFRICAN AMERICAN: a person having origins in any of the black racial groups of Africa. NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: a person having origins in any of the original peoples of Hawaii Guam Samoa or other Pacific Islands. WHITE: a person having origins in any of the original peoples of Europe the Middle East or North Africa. Race not listed Prefer not to state

Participant's FIRST name

2023 Pest Management Meeting