CROP SIgn Up - SiX Agriculture

Legislator name*

State*

Title / in which chamber so you serve?*

Preferred email address*

Additional emails

Staff or scheduler name

Staff or scheduler email

Full Mailing Address*

Best Phone Number*

Can this phone number receive text messages?*

Yes
No

Pronouns*

She/Her/Hers
He/Him/His
They/Their/Theirs
Other

If you answered "other" above and prefer to say, please write pronoun below:

Race*

If you answered "other" above and prefer to say, please indicate your race below:

Please put your public biography below*

Upload your headshot here (we will not be sharing this without your permission)

Accepted file types: jpg, jpeg, gif, png, pdf, psd, eps, webp, heic, tiff, bmp, Max. file size: 10 MB.

If you have trouble uploading your headshot please email it to [email protected]

When were you first elected to the legislature?*

When are you next up for re-election?

Is your district rural or have a rural component?*

Yes
No

What committees do you serve on?*

Are you in a leadership position and if so, what is that position? If no, please type NA*

Please indicate whether or are in the majority, minority, or are an independent in your state:*

Majority
Minority
Independent

What rural, food, agriculture or environmental issues are you particularly interested in or are working on?*

Which organizations in your state do you look to for information and/or guidance on farm policy?*

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

How can SiX help you be a champion for progressive agricultural, food and rural policy in your state?*

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 us anything pertinent.

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

How did you hear about the CROP?*

If you answered 'other' to the above question or were invited by a SiX staff member, please explain below.

What is your Bluesky handle?

What is your Facebook handle?

What is your Instagram handle?

Other social media handles?

CROP SIGN UP FORM