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2024 UDIM Board Mentor Application

1. Name

2. Birthdate

3. Street address

4. City

5. State

6. Zip

7. The address above is referring to which of the following

8. Farm name

9. Email

10. Phone number

11. Role on the farm

12. What is your current employment on the farm?

13. What milk cooperative does your farm belong to?

14. Please share why you want to be part of the UDIM Board Mentor Program. What do you hope to learn by the end of the program?

15. What skills or talents are you willing to share with other participants to help their leadership path? (e.g. Are you a strong public speaker? Do you have a knack for connecting with consumers about dairy?)

16. Please list any leadership programs and/or community organizations you are involved with (past or present).

17. Are you personally active on social media? Please check all that apply.

Facebook
Instagram
Twitter/X
Tik Tok
YouTube
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

18. Have you been involved in promoting dairy? Please share how. (farm tours, social media, provide dairy foods at local events, etc.)

19. How did you hear about the UDIM Board Mentor Program?

Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

20. If accepted, I commit to attending 2 out of 4 UDIM board meetings in addition to the workshops that follow, plus one UDIM program event, to be determined. *This question is required.