1. First name *

2. Last name *

3. Email *

4. Phone number

5. Nearest town *

This will help us determine if project funding is available and if you are in a priority area

6. I am a:

FarmerRural LandownerUrban LandownerOther

7. I am interested in implementing the following stewardship practices and/or projects on my property (check all that apply):

We will contact you if funding becomes available to support the practices/projects you are interested in implementing

Sediment and erosion control structuresConstructing a wetland or sediment pondGrassed waterwaysWindbreaksPlanting vegetated streamside buffer stripsRestricting livestock from watercoursesTree plantingBuilding soil healthCover cropsConservation or no-till practicesSoil testing and variable nutrient managementUsing AgriSuite tools and calculatorsSupplying agricultural source materials (e.g., manure)Receiving agricultural source materials (e.g., manure)Controlled drainageUsing saturated buffers for tile drain outletsRegistering for tax incentive programs for forested areasSeptic system maintenancePlanting a rain gardenUsing rain barrels at downspoutsOther (provide additional comments below)

8. I am interested in learning more about (check all that apply):

Your feedback will help us determine what expert-led and peer-to-peer knowledge sharing events we should host in future

Sediment and erosion control structuresConstructing a wetland or sediment pondGrassed waterwaysWindbreaksPlanting vegetated streamside buffer stripsRestricting livestock from watercoursesTree plantingBuilding soil healthCover cropsConservation or no-till practicesSoil testing and variable nutrient managementUsing AgriSuite tools and calculatorsSupplying agricultural source materials (e.g., manure)Receiving agricultural source materials (e.g., manure)Controlled drainageUsing saturated buffers for tile drain outletsRegistering for tax incentive programs for forested areasSeptic system maintenancePlanting a rain gardenUsing rain barrels at downspoutsOther (provide additional comments below)

9. I would like to receive occasional emails about upcoming workshops and conferences being held in the watershed:

—Please choose an option—YesNo

10. Additional Comments (optional)

11. Permission *

The SCRCA has permission to contact me. I understand that my personal contact information will not be shared with any other parties.

* Required fields