UCCE - Pear Branch Canker and Dieback Field Day

✻ = Required

Name ✻

Email Address ✻

Which of the following best describes you?

Grower Grower Manager PCA/QAL/QAC Other:

Which practices are implemented at your farm/role?

Conventional Organic Both Other:

Which topics would you like to see most emphasized by UCCE at future events?

Pest Management (Weeds Insects Diseases/nematodes Vertebrates) Sustainable Management Practices (alternative practices or organic methods) Nutrition/fertilization Cover Cropping Irrigation and water use Pruning/ training/canopy management Other:

If your answer to the previous question was other, please describe.

Contact phone: (optional)

The federal government requires Cooperative Extension to provide documentation that our activities do not discriminate. We are asking for your cooperation to self-identify your race, ethnicity and gender to help us provide this documentation and ensure our programming is widely accessible. Your participation in this section of the questionnaire is completely voluntary. Responses will be kept confidential and results will only reported anonymously, in aggregate.

El gobierno federal exige que Extensión Cooperativa proporcione documentación de que nuestras actividades no discriminan. Solicitamos su cooperación para identificar su raza, origen étnico y género para ayudarnos a proporcionar esta documentación y garantizar que nuestra programación sea ampliamente accesible. Su participación en esta sección del cuestionario es completamente voluntaria. Las respuestas se mantendrán confidenciales y los resultados solo se informarán de forma anónima y agregada.

What is your ethnicity?

Hispanic or Latino Not Hispanic nor Latino Prefer not to state

What is your race?

American Indian or Alaska Native Asian Black or African American White Native Hawaiian or Other Pacific Islander More than one race Race not listed Prefer not to state

What is your gender?

Male Female Non-binary Gender identity not listed above Prefer not to state