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Email Address
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Full Name
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Pronouns
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She/Her/Hers
He/Him/His
They/Their/Theirs
Other
If you answered "other" above and prefer to say, please write pronoun below:
State
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Full Mailing Address
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Best Phone Number
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Staff or scheduler name and email
Race
Asian
Black or African American
Hispanic
Middle Eastern
Native American
Caucasian or White
Native Hawaiian
Pacific Islander
Other
Prefer not to say
If you answered "other" above and prefer to say, please indicate your race below:
In which chamber do you serve?
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House (or equivalent?)
Senate
Other
When were you first elected to the legislature?
Is your district rural or have a rural component?
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Yes
No
Are you in a leadership position and if so, what is that position? If no, please type NA
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Please indicate whether you are in the majority or minority in your state. If you are an independent, click "other."
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Majority
Minority
Other
Do you currently sit on a committee that hears issues related to agriculture?
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Yes
No
If you answered "Yes" to the above question, which committee(s) do you serve on? If the answer is "no" please type in NA
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If you serve on a committee that hears issues related to agriculture, are you a ranking member? If so, please tell us your title. If no, please type NA.
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Please check all issue areas that you are interested in:
Agriculture as a climate solution
Healthy soil
Local food and farms
Institutional procurement
Food waste
Hemp
Creating local food economies (value added processing)
Farmers markets
GMOs / Genetic engineering
Beginning farmer
Farmer equity & diversity
Pollinators
Pesticides
Concentrated animal feeding operations
Raw Milk
Right to repair farm equipment
Right to farm laws
Farmed animal welfare
Manure management
Agroecology
Farm worker justice
slaughter & processing
Mitigating agricultural pollution and runoff
Farmer access to capital
Invasive species
Predator control
Urban agriculture
School gardens
Food security
Energy production
Please use this space to expand on any of the above issues or list an issue(s) that wasn't previously listed. If you have nothing to add, type NA.
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Which organizations in your state do you look to for information and/or guidance on farm policy?
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Do you feel like you hear the progressive point of view on agricultural policy?
Yes, I do or I know where to find the information.
No, I have no idea where to go to find this information.
Other
If Other, please let us know
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How can SiX help you be a champion for progressive agricultural policy in your state? Please check all that apply
Connect with farmers in my state that aren't represented by traditional farm groups.
Connect with local progressive organizations working on food, farm or rural issues.
Timely issue briefings
Recording library of webinars and podcasts about issues that can be accessed on demand.
Connect with other legislators in other states that are facing similar issues
Help support regional collaboration on agricultural issues
Support line to answer questions as they come up
Research support
Legislation toolbox organized by issue
Talking points
Crisis response
Navigating ag/rural committee assignments
National bill tracking in an issue area
News article collection on particular issue areas
Connecting with journalists
Social media amplification on agriculture issues
Other:
Are you interested in joining an issue-focused legislator working group? If yes, please pick from the options below.
Justice for Black farmers and farmer equity
Soil health and regenerative agriculture
Corporate Agribusiness Accountability
Building Progressive Power Through Rural Organizing
If Other, please let us know
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Please use this space to expand on any of the above resources or list an issue(s) that wasn't previously listed. If you have nothing to add, type NA.
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In this policy space, what should we know about you? Do you come from a rural background? Are you new to the space? Have you done something interesting in your state that other SiX legislators should know about? Please tell anything pertinent.
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How did you hear about the CROP?
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Colleague in the State Legislature
Organizational/Community Partner
Invited by a State Innovation Exchange Staff Member (if so please put their name in the answer space in the next section)
State Innovation Exchange Event (Webinar or Conference)
Other
If you answered 'other' to the above question or were invited by a SiX staff member, please put your response below.
What is your X (formerly know as Twitter) handle?
What is your Instagram handle?
What is your Facebook handle?
Other social media handles?
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