Farming Application

Norfell Bennett Cooperative

Farm Member Data Worksheet First Official Meeting - Member Information Form*

Personal Information

Full Name *

Email Address *

Phone Number *

Years of Farming Experience *

Beginner (0-5 years)

Intermediate (5-10 years)

Experienced (over 10 years)

Farm/Business Details

Business/Farm Name *

Farm Tract Number *

Property Status *

Own

Rent

Lease-to-Own

Other

If other, please specify *

Agricultural Information

Specialty Crops *

please list up to three crops

Current Equipment Access (check all that apply) *

Tractor

Plow

Harvester

Irrigation System

Storage Facilities

Transportation Vehicles

Other

Cooperative Participation

Resource Sharing Willingness *

Yes, willing to share equipment

Yes, willing to share knowledge/expertise

Yes, willing to share facilities

No, not at this time

check all that apply

Additional Information

TextareaWhat are your primary goals for joining the cooperative? *

Do you have any specific needs or challenges you'd like the cooperative to address? *

Are you interested in serving on any cooperative committees? *

Yes

No

If Yes, areas of interest? *

*By submitting this form, you agree to maintain the confidentiality of other members' information and to abide by the cooperative's bylaws and regulations.