Prospective Producer Member Survey

Please fill out this survey to help us gather information about local farmers interested in our Co-op model. All information you share is completely voluntary and your personal information will not be shared outside of our Board of Directors. We may compile this information, leaving out names and contact information, to help SCWiHC acquire start-up funding and make connections to resources. Thank you for your interest and participation!

    First Name*

    Last Name*

    Farm Name

    Email*

    Phone Number

    Farm Location

    Certified Organic?

    Currently in transition to Organic

    No pesticide use for 3 years +

    Conventional - synthetic pesticides used

    If conventional, are you Interested in support services around transitioning to organic production?

    Acreage or number of CBD hemp plant in production?

    Currently licensed and registered with DATCP to grow hemp in 2019?

    Intend to yet in future years? If so, when?

    Do you have access to a hoop house?

    If yes, what are the dimensions?

    Do you have access to a transplant/seedling greenhouse?

    If yes, what are the dimensions?

    Do you have a fully enclosed pole barn with concrete floor (for drying hemp)?

    If yes, what are the dimensions?

    Years of farming experience?

    What crops?

    How would you describe your soil type and farm setting?

    Experience with on farm research?

    Interested in learning about the Co-op model?

    Interested in serving on a SCWiHC committee or other volunteer capacity?

    Interested in Producer Membership in 2021 (open to current or future organic hemp farmers)?

    Additional Comments or Questions

    By clicking yes you are agreeing to be contacted by South Central WI Hemp Cooperative. Your information will not be shared.*