New Farmer Mentorship Program by SL4CK0G

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									                                          2012 Boulder County
                                        Building Farmers Program
                                        Market Farm Mentorship
                                           Mentee Application
                                           MAIL OR DELIVER TO:
                                           Boulder County Extension
                                            9595 Nelson Rd, Box B
                                             Longmont, CO 80501
                                                303-678-6238

                  FIRM DEADLINE: TUESDAY, JANUARY 24, 4:00 PM
                             A committee of mentors will score applications.
        You are encouraged to clearly demonstrate all previous experience in market farming.
       Priority is given to those with previous internship, apprenticeship experience and/or farm
                              manager on commercially viable market farms.
                                     Points possible are in parentheses.
                           50 total points possible. Type or hand write legibly.
                                   Include additional pages if necessary.

**Please include a hard copy summary of your current business plan of no more than
2 two-sided pages (4 pages of print). It should include the basics required for presentation in the
Building Farmers Program with cost and income figures.**


       Name: _________________________________________________________
       Farm Name: ____________________________________________________
       Address: ________________________________________________________
       Phone numbers (land and cell):
       ___________________________________________________________
       Email: ___________________________________________________________


       Payment enclosed to “Boulder County Extension” (mark one below):
               $90 (in full)      or
               $45 (half) with remaining half due March 1, 2012

           1.   Circle your experience level (based on definitions below for sorting):
           New Farmers - <1/4* acre and/or < 1 year and/or intern/apprentice level experience

           Intermediate Farmers – production/marketing manager or sole operator, >1/4 acre for <3 years

           Experienced Farmers – production/marketing manager or sole operator, >1/4 acre for >3 years

           *One acre = 43,560 square feet, ¼ acre = 10,890 square feet (104’ x 104’)


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2. Why do you want to have a mentor for 2012? (10 points)




3. Please describe the stage you are at with your farming business as it relates
   to your readiness for working with a mentor (i.e. – are you “growing for
   market” in 2012 or are you still in the conceptual stages). (20 points)




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4. Which aspects of farming would like to discuss with a mentor? (3 points)




5. What are your business goals with farming? (3 points)




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6. What are your strengths and weaknesses related to your ag business,
   production and marketing? (4 points)




7. What are your expectations of a relationship with a mentor? (10 points)




8. Tell us something interesting about yourself. (Simply for more
   understanding of who you are)




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          Professional Development Plan for Beginning Farmers in the West
                         Experiential Learning Component
                                  ~Mentorship~
    This PD plan will be reviewed by the potential mentors but not scored. The purpose is to better
    understanding your intentions for the mentorship. If you are selected as a mentee, this info will
                         be used to match you with the best mentor for your goals


    Name:_________________________________________
    Date:________________              Mentor requested (see brochure for list): ________________


    Goal A:
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________

    Check all performance criteria that apply
    Goal A most closely aligns with which of the following categories (check all that apply):
Business planning                                              Equipment: use, purchase, modification
Production: planning, seed/seed stock supply, season
                                                               Post-harvest handling
extension
Production: seeding, transplanting                             Marketing, pricing & merchandising
Production: soil fertility, soil health, pest management       Recordkeeping, budgeting
                                                               Regulations: food safety, food processing, taxes,
Irrigation systems, soil moisture management
                                                               Good Agricultural Practices (GAP)
Greenhouse, row cover, plasticulture                           Financing
Labor procurement & management                                 Other _____________________________

    Action Steps:
    List below any steps that you might take during your mentorship experience to accomplish the goal
    above:
    1.____________________________________________________________________________
    2._____________________________________________________________________________
    3._____________________________________________________________________________


    Assessment:
    How will you know if you have accomplished the goal?

    ______________________________________________________________________________
    ______________________________________________________________________________


    What are the measurable or observable results? (example: I have implemented effective post-
    harvest handling processes on my farm that have reduced product damage and loss during
    harvest.)
    1._____________________________________________________________________________
    2.____________________________________________________________________________
    3._____________________________________________________________________________




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    Goal B:
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________

    Check all performance criteria that apply
    Goal B most closely aligns with which of the following categories (check all that apply):
Business planning                                             Equipment: use, purchase, modification
Production: planning, seed/seed stock supply, season
                                                              Post-harvest handling
extension
Production: seeding, transplanting                            Marketing, pricing & merchandising
Production: soil fertility, soil health, pest management      Recordkeeping, budgeting
                                                              Regulations: food safety, food processing, taxes,
Irrigation systems, soil moisture management
                                                              Good Agricultural Practices (GAP)
Greenhouse, row cover, plasticulture                          Financing
Labor procurement & management                                Other _____________________________

    Action Steps:
    List below any steps that you might take during your mentorship experience to accomplish the goal
    above:
    1.____________________________________________________________________________
    2._____________________________________________________________________________
    3._____________________________________________________________________________

    Assessment:
    How will you know if you have accomplished the goal?

    ______________________________________________________________________________
    ______________________________________________________________________________


    What are the measurable or observable results? (example: I have implemented effective post-
    harvest handling processes on my farm that have reduced product damage and loss during
    harvest.)
    1._____________________________________________________________________________
    2._____________________________________________________________________________
    3._____________________________________________________________________________




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    Goal C:
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________

    Check all performance criteria that apply
    Goal C most closely aligns with which of the following categories (check all that apply):
Business planning                                             Equipment: use, purchase, modification
Production: planning, seed/seed stock supply, season
                                                              Post-harvest handling
extension
Production: seeding, transplanting                            Marketing, pricing & merchandising
Production: soil fertility, soil health, pest management      Recordkeeping, budgeting
                                                              Regulations: food safety, food processing, taxes,
Irrigation systems, soil moisture management
                                                              Good Agricultural Practices (GAP)
Greenhouse, row cover, plasticulture                          Financing
Labor procurement & management                                Other _____________________________

    Action Steps:
    List below any steps that you might take during your mentorship experience to accomplish the goal
    above:
    1._____________________________________________________________________________
    2._____________________________________________________________________________
    3._____________________________________________________________________________


    Assessment:
    How will you know if you have accomplished the goal?

    ______________________________________________________________________________
    ______________________________________________________________________________


    What are the measurable or observable results? (example: I have implemented effective post-
    harvest handling processes on my farm that have reduced product damage and loss during
    harvest.)
        1._________________________________________________________________________
        2._________________________________________________________________________
        3._________________________________________________________________________




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