Farm to Fork Scholarship Application Email knixon@wcmcaa.org for more information or to submit this form directly. Thank you! Applications accepted on a rolling basis up to February 10th, First come, First serve. Email (required) *Date *First Name *Last Name *AddressStreet Address *Address Line 2City *State *ZIP Code *Phone Number *Tell us a little bit about yourself (a few sentences): *Limit 500 CharactersHow long have you been farming? *Limit 500 CharactersPlease let us know why you would like to attend the Farm to Fork Summit (One to two paragraphs): *Limit 500 CharactersHow will you apply the information learned at Farm to Fork? *Limit 500 CharactersSelect list(s) to subscribe toMediaConstant Contact Use. Please leave this field blank.