FARMER TRIAL NETWORK APPLICATION Home \ Programs \ Farmer Trial Network Application Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Home PhoneCell PhoneEmail Farm Name Business Entity Individual Partnership LLC or LLP Corporation County (or Counties) you farm inTotal Acres Farmed Type of Operation(s) Cattle Corn Dairy Hogs Poultry Cover Crops Soybeans Other Equipment Owned Combine Corn Head Grain Head Sprayer No-Till Drill Other Infrastructure Grain bins less than 10,000 bu Grain bins greater than 10,000 bu Grain dryer - batch Grain dryer - continuous Loading facilities Trucks Bulk storage Scale Other Technology Used Employee management & payroll software Crop monitoring software Soil monitoring software Field mapping technology Auto steering assist Other Additional Experience Cooperative Using cutting edge and/or newer technology on farm Leadership position in farm organization(s) Direct Contracts Farming Practices (Please check all that apply)No-till No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Conventional-till No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Strip till No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Irrigated No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Relay-cropping No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Pasture No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Certified Organic No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Cover crop No Acreage 1 - 25% of acreage 25 - 50% of acreage 50 - 75% of acreage 75 - 100% of acreage Other BusinessPlease describe any other business that you are associated with. Example: Seed DealerWhat types of technology are you most excited about?Please describe what you are trying to change in your operation.
