Form AG03241 "Minnesota Farm Link Information Form - Beginning Farmer" - Minnesota

What Is Form AG03241?

This is a legal form that was released by the Minnesota Department of Agriculture - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 26, 2017;
  • The latest edition provided by the Minnesota Department of Agriculture;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AG03241 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Agriculture.

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Download Form AG03241 "Minnesota Farm Link Information Form - Beginning Farmer" - Minnesota

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625 ROBERT STREET NORTH, SAINT PAUL, MN 55155-2538
WWW.MDA.STATE.MN.US
Agricultural Marketing and Development, Phone:
651-201-6012
INFORMATION FORM
Minnesota Farm Link Information Form
The information collected on this form is gathered to find the right opportunity for you. Understanding your goals and objectives
is important to matching and transitioning, so complete answers are critical. All information is for program use only and will not be
used for any other purpose. If you have questions on this form, please call 320-842-6910.
Internal Use Only: ID# _____________________
Participant Information
Last Name
First Name
Today’s Date
Address
City
State
Zip
County
Phone
Alternative Phone (Optional)
E-mail
Age
Family Size (including children living at home)
1. Level of Education (Check all that apply)
High School/GED
Some College
2 year degree
4 year degree
Advanced Degree
Major:
Ag Related Minor(s)
2.
Certifications or related trainings?
Yes
No
If yes, check all that apply below:
Pesticide Applicator
Manure Management
Artificial Insemination
Organic
Other:
3. Farm Experience (Check all that apply)
Working on Farm: # of Years _______________
Ag Related Job: # of Years _______________
Raised on Farm
No Farm Experience
4. Current Occupation (Check all that apply)
Farm Full—Time
Ag Related Job
Student
Farm Part—Time
Non Ag Related Job
Unemployed
Occupation:
5. How would being part of a farming operation change your lifestyle and family life? What would be the advantages and
disadvantages for you and how would you feel about making those changes?
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG03241
by calling 651/201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/26/17 page 1 of 6
625 ROBERT STREET NORTH, SAINT PAUL, MN 55155-2538
WWW.MDA.STATE.MN.US
Agricultural Marketing and Development, Phone:
651-201-6012
INFORMATION FORM
Minnesota Farm Link Information Form
The information collected on this form is gathered to find the right opportunity for you. Understanding your goals and objectives
is important to matching and transitioning, so complete answers are critical. All information is for program use only and will not be
used for any other purpose. If you have questions on this form, please call 320-842-6910.
Internal Use Only: ID# _____________________
Participant Information
Last Name
First Name
Today’s Date
Address
City
State
Zip
County
Phone
Alternative Phone (Optional)
E-mail
Age
Family Size (including children living at home)
1. Level of Education (Check all that apply)
High School/GED
Some College
2 year degree
4 year degree
Advanced Degree
Major:
Ag Related Minor(s)
2.
Certifications or related trainings?
Yes
No
If yes, check all that apply below:
Pesticide Applicator
Manure Management
Artificial Insemination
Organic
Other:
3. Farm Experience (Check all that apply)
Working on Farm: # of Years _______________
Ag Related Job: # of Years _______________
Raised on Farm
No Farm Experience
4. Current Occupation (Check all that apply)
Farm Full—Time
Ag Related Job
Student
Farm Part—Time
Non Ag Related Job
Unemployed
Occupation:
5. How would being part of a farming operation change your lifestyle and family life? What would be the advantages and
disadvantages for you and how would you feel about making those changes?
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG03241
by calling 651/201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/26/17 page 1 of 6
Partner Information
Last Name
First Name
Address (If Different)
City
State
Zip
County
Phone
Alternative Phone (Optional)
E-mail (Optional)
Age
7. Level of Education (Check all that apply)
High School/GED
Some College
2 Year Degree
4 Year Degree
Advanced Degree
Major:
Ag Related Minor(s)
8. Certifications or ag related trainings?
Yes
No
If yes, answer below:
Pesticide Applicator
Manure Management
Artificial Insemination
Organic
Other:
9. Farm Experience (Check all that apply)
Working on Farm: # of Years _______________
Ag Related Job: # of Years _______________
Raised on Farm
No Farm Experience
10. Current Occupation (Check all that apply)
Farm Full—Time
Ag Related Job
Student
Farm Part—Time
Non Ag Related Job
Unemployed
Occupation:
11. How would being part of a farming operation change your lifestyle and family life? What would be the advantages and
disadvantages for you and how would you feel about making those changes?
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG03241
by calling 651/201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/26/17 page 2 of 6
Agricultural Interests
12. Check the type of farming operation(s) in which you are interested.
Dairy—Replacement
Beef Cow/Calf
Beef Finishing
Dairy—Milking
heifers
Swine—Farrow to
Sheep—Birth
Swine—Feeder pigs
Swine—Finishing
finish
to Market
Sheep—Feeder Lambs
Sheep—Finishing
Poultry—Egg
Goats
Fruit
Vegetable
Field Crops
Other:
13. What size farm would you consider?
Tillable Acres
0
1—100
100—200
200—400
400+
Pasture Acres
0
1—100
100—200
200—400
400+
14. What type of farming practices interest you?
Conventional Tillage
Minimum Tillage
No—Till
Ridge—Till
Managed Grazing
Organic
Pasture
Grass Fed/Finished Livestock
Conventional Livestock
Other (Explain):
15. Please indicate the importance of the following characteristics of your farm business. Mark “M” for must have
characteristic, “L” would like to have this characteristic, but not a must, or “NI” for not important.
Primary Residence (# Bedrooms _______Baths ______)
Certified Organic or Easily Certified
Housing for Labor
Land Currently Being Farmed
Near Urban Population
Greenhouse or Hoophouse
Annual Records of Past Farm Management
Machine Shed/Workshop
Grain Storage
Permanent Fencing for Livestock
Use of Intensive Pasture Management
Hay Storage
Farm Stand/Store
Manure Storage
Open Lot Livestock Facilities
Total Confinement Livestock Facilities
If Dairy: Free-Stall Facility
If Dairy: Tie Stall Dairy
If Dairy: Parlor System
If Dairy: Stanchion Facility
Irrigation
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG03241
by calling 651/201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/26/17 page 3 of 6
Assets
16. Do you currently own livestock? (Add additional pages if needed)
Yes
No
Type:
Number:
Breed:
Type:
Number:
Breed:
17. Do you currently own any farm equipment that you could use on this farm?
Yes
No
(Add additional pages if needed)
Condition
Type:
Excellent
Good
Fair
Type:
Excellent
Good
Fair
Type:
Excellent
Good
Fair
Type:
Excellent
Good
Fair
18. What can you contribute toward a farm match? (Check all that apply)
Labor
Capital $ ______________
Management
Family Assistance
Spouse Contribution
Off-farm Employment
Other:
Transition
19. How long do you want or expect this transfer to take?
Minimum time:
Maximum Time:
20. Would you be considered being hired as an employee for a specified amount of time on a trial basis before proceeding with
other farm transfer options?
Yes
No
21. Rank the following scenarios that you would consider from 1-7, with 1 being the preferred option. Write NA for those
options you are not willing to consider.
Works as a farm employee with gradual transfer of responsibility and farm assets over time
Enter into a partnership with current owner
Outright purchase
Short-term lease (1-5 years)
Owner financed purchase
Lease with option to buy
Contract for Deed
Long term lease (5+ years)
Other:
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG03241
by calling 651/201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/26/17 page 4 of 6
Additional Information
22. Do you own, have access to, or know how to operate a computer ?
Yes
No
Farm Record Keeping
e-mail
Ag News and Market Information
Internet
Other:
23. Location
Yes
No
Northeast
North Central
Northwest
West Central
East Central
Southeast
South Central
Southwest
Metro
Central
More Specific Location (Please Describe):
24. Why do you want to farm?
25. Where do you see your farming business in the next 5 years?
26. Where do you see your farming business in 15 years?
27. Mark any skills or abilities you would like to develop. (check all that apply)
Tax Management/
Business
Financing Options
Retirement Planning
Planning
Management
Financial
Marketing
Production
Communication
Management
Conflict Resolution
Leadership
Goal Setting
Decision Making
Livestock Husbandry
Crop Production
Fruit Production
Vegetable Production
Specializations (Organic)
Other:
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG03241
by calling 651/201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/26/17 page 5 of 6
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