Olive and Grape Field Day

✻ = Required

First ✻

Last ✻

Email ✻

Phone ✻

Mailing Address ✻

If registering more than one person please list additional names

Which of the following best describes you?

Grower Grower Manager PCA/QAL/QAC Other:

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? (check all that apply)

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

What is your gender?

Male Female Nonbinary Gender not listed Prefer not to state

University of California Agriculture & Natural Resources (UCANR) is an equal opportunity provider. (Complete non discrimination policy statement can be found at https://ucanr.edu/sites/anrstaff/files/390107.pdf) Inquiries regarding ANR’s non discrimination policies may be directed to UCANR, Affirmative Action Compliance Officer, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1343.

Agricultura y Recursos Naturales de la Universidad de California (UC ANR) es un proveedor que ofrece oportunidades por igual a todos. (Puede leer el texto complete de la declaración de USDA en Non-Discrimination Statement - USDA.) Las preguntas sobre las políticas de No discriminación de la Universidad pueden dirigirse a: UC ANR, Oficial interino de Cumplimiento de Acción Afirmativa, Universidad de California, Agricultura y Recursos Naturales, 2801 Second Street, Davis, CA 95618, (530) 750-1280.

I would like to register for the July 30th Olive & Grape Day ✻

$50.00 Quantity: required charge

If the cost of this event would cause financial hardship to you, please contact organizers at goncalves@ucanr.edu for more information