F2CC Farmer Interest Form

Thank you for your interest in joining the Yellow Farmhouse Education Center F2CC Speaker Network!

Submitting this form is indicating your interest in joining our Farm 2 Culinary Classroom (F2CC) Speaker Network, and you will be featured on our website. DISCLAIMER: Inclusion on our website does not guarantee a booking with schools. This is a new program, so we have yet to understand the demand for speakers.

We will reach out if we have any questions and when you will be selected - thank you!

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone Number *

Alternate Contact

Please share the easiest way to reach you on the day of presentation (Note; if this is the same number as above, please leave blank!)

Farm Information

Farm Name *

Website

Social Media Handles

Please list any and all social media handles here!

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Mailing Address (if different from farm address)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Speaker Interest Questions

Previous Experience

Please provide us any previous speaking or teaching experience. Note: No previous experience is required to register for our network!

Grade Level Interest *

What grade levels would you feel most comfortable working with?

K-2nd

3-5th

Middle School

High School

Location Interest *

Please select all counties you are able to travel to!

Litchfield County

Hartford County

Fairfield County

New Haven County

Middlesex County

Tolland County

Windham County

New London County

Please list any travel restrictions...

ex. Only available to travel to one town, specific miles outside of location, towns comfortable driving to.

What days of the week would you be available to present to students? *

Monday

Tuesday

Wednesday

Thursday

Friday

Weekends

What times during the week would be best for you to present? *

8:00AM - 10:00AM

10:00AM - 12:00PM

12:00PM - 3:00PM

3:00PM - 5:00PM

Speaker Availability

Please provide us with any extra information on your availability: seasons, specific days and hours (morning versus afternoon, etc)

Please share any other information on what you would be interested in speaking about...

Ex. Dairy - what specifically?

Farmer Bio *

Please put your biography here. The biography and headshot will live on the speaker network page of the Yellow Farmhouse website and will help teachers select which presenters will be best for their classrooms.

Farmer Headshot *

Please submit a headshot of yourself here! PNG and JPG preferred, thank you!