Kristie

First Name

Last Name

First Name 1

Last Name 2

Phone

What is your industry?

Please check all that apply.

Industry?

Aquatic

Dairy

Livestock

Greenhouse

Apple

Timber

What services do you currently use?

Tax prep

Payroll

Appraisal

When are you interested in starting the service?

I certify all information.

YBSV Board Advisor Application

Full Legal Name

Date of Birth

Address of Primary Residence

Legal Business Name

Business Website (if any)

Primary Phone Number

Email Address

Primary Occupation

Description of your primary business, including the agricultural industry you work in, and your role in it. Please also describe any affiliated businesses you may be involved with.

Why are you seeking appointment as YBSV Board Advisor? How do you think your background and skills will contribute to our mission of supporting young, beginning, small and veteran farmers?

What do you see as the biggest challenge(s) facing young, beginning, small or veteran farmers today, and how would you address them?

Describe current or past involvement with industry groups, your local community, and/or with Farm Credit East and how that experience will help you as a YBSV Board Advisor to the Farm Credit East Board.

How do you view younger stakeholders getting personally involved in the leadership and governance of agricultural organizations? How do you perceive Farm Credit East's role in the broader success of the agricultural industry?

Describe your educational background.

Please upload your resume and statement of interest.

Either currently or in the past year have you served as a Farm Credit System institution director, officer, employee or agent?

Yes

Are you presently a director, officer, employee or agent of any commercial bank or any financial or lending institution, or are you presently a real estate broker, agent, or realtor?

Yes

Do you or an immediate family member serve as an owner, officer, director, employee, or agent of another entity that provides the same or similar services as Farm Credit East?

Yes

Are you a family member of a Director, Officer, Employee or Agent of Farm Credit East or CoBank, ACB?

Yes

Have you been convicted of any criminal charges in the last five (5) years?

Yes

Have you filed bankruptcy proceedings and/or declared insolvency during the past five (5) years?

Yes

Do you have any matter that should be reported as a Conflict of Interest involving Farm Credit East that is not otherwise reported herein?

Yes

I want to learn more about the Winery Benchmark Program

First Name*

Last Name*

Winery/Cider Name

Industry

Mailing Address*

State*

Zip Code*

Email*

Phone*

Current Customer of Farm Credit East

Additional Comments or Questions*

By checking this box, I agree to be contacted by Farm Credit East, ACA via text message at the phone number provided.

I understand that I am not required to provide my consent as a condition of obtaining a loan or receiving financial services from Farm Credit East. Message and data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP. Information provided will be held in accordance with our Privacy Statement and Terms of Use.

*Required Field

First Name

Last Name

First Name 1

Last Name 2

Phone

What is your industry?

Please check all that apply.

Industry?

Aquatic

Dairy

Livestock

Greenhouse

Apple

Timber

What services do you currently use?

Tax prep

Payroll

Appraisal

When are you interested in starting the service?

I certify all information.

YBSV Board Advisor Application

Full Legal Name

Date of Birth

Address of Primary Residence

Legal Business Name

Business Website (if any)

Primary Phone Number

Email Address

Primary Occupation

Description of your primary business, including the agricultural industry you work in, and your role in it. Please also describe any affiliated businesses you may be involved with.

Why are you seeking appointment as YBSV Board Advisor? How do you think your background and skills will contribute to our mission of supporting young, beginning, small and veteran farmers?

What do you see as the biggest challenge(s) facing young, beginning, small or veteran farmers today, and how would you address them?

Describe your educational background.

Please upload your resume and statement of interest.

Either currently or in the past year have you served as a Farm Credit System institution director, officer, employee or agent?

Yes

Are you presently a director, officer, employee or agent of any commercial bank or any financial or lending institution, or are you presently a real estate broker, agent, or realtor?

Yes

Do you or an immediate family member serve as an owner, officer, director, employee, or agent of another entity that provides the same or similar services as Farm Credit East?

Yes

Are you a family member of a Director, Officer, Employee or Agent of Farm Credit East or CoBank, ACB?

Yes

Have you been convicted of any criminal charges in the last five (5) years?

Yes

Have you filed bankruptcy proceedings and/or declared insolvency during the past five (5) years?

Yes

Do you have any matter that should be reported as a Conflict of Interest involving Farm Credit East that is not otherwise reported herein?

Yes

I want to learn more about the Winery Benchmark Program

First Name*

Last Name*

Winery/Cider Name

Industry

Mailing Address*

State*

Zip Code*

Email*

Phone*

Current Customer of Farm Credit East

Additional Comments or Questions*

By checking this box, I agree to be contacted by Farm Credit East, ACA via text message at the phone number provided.

*Required Field

FarmStart Form

First Name

Last Name

First Name 1

Last Name 2

Phone

What is your industry?

Please check all that apply.

Industry?

Aquatic

Dairy

Livestock

Greenhouse

Apple

Timber

What services do you currently use?

Tax prep

Payroll

Appraisal

When are you interested in starting the service?

I certify all information.

YBSV Board Advisor Application

Full Legal Name

Date of Birth

Address of Primary Residence

Legal Business Name

Business Website (if any)

Primary Phone Number

Email Address

Primary Occupation

Description of your primary business, including the agricultural industry you work in, and your role in it. Please also describe any affiliated businesses you may be involved with.

Why are you seeking appointment as YBSV Board Advisor? How do you think your background and skills will contribute to our mission of supporting young, beginning, small and veteran farmers?

What do you see as the biggest challenge(s) facing young, beginning, small or veteran farmers today, and how would you address them?

Describe your educational background.

Please upload your resume and statement of interest.

Either currently or in the past year have you served as a Farm Credit System institution director, officer, employee or agent?

Yes

Are you presently a director, officer, employee or agent of any commercial bank or any financial or lending institution, or are you presently a real estate broker, agent, or realtor?

Yes

Do you or an immediate family member serve as an owner, officer, director, employee, or agent of another entity that provides the same or similar services as Farm Credit East?

Yes

Are you a family member of a Director, Officer, Employee or Agent of Farm Credit East or CoBank, ACB?

Yes

Have you been convicted of any criminal charges in the last five (5) years?

Yes

Have you filed bankruptcy proceedings and/or declared insolvency during the past five (5) years?

Yes

Do you have any matter that should be reported as a Conflict of Interest involving Farm Credit East that is not otherwise reported herein?

Yes

I want to learn more about the Winery Benchmark Program

First Name*

Last Name*

Winery/Cider Name

Industry

Mailing Address*

State*

Zip Code*

Email*

Phone*

Current Customer of Farm Credit East

Additional Comments or Questions*

By checking this box, I agree to be contacted by Farm Credit East, ACA via text message at the phone number provided.

*Required Field