Has your gross farm income been more than $1,000 and less than $250,000/year in the previous two years?

☐ Yes

☐ No

Is your gross income less than $23,000/year?

□ Yes ___ No

Check the response that best describes your participation in the KSU Small-Scale Farm Grant (SSFG):

I have received the SSFG once in the past

I have received the SSFG more than once but for less than $10,000 total

I have received educational assistance funds

I have never received the SSFG

In the previous program cycles, check the response that best describes you:

☐ Approved and received funding and completed my project

Applied but not approved for funding

Approved and received funding but did not complete my project

☐ Did not apply

At the time of application, how long have you been farming/producing/selling?

□Less than 1 year □1-3 years

Box …1-3 years

□3-5 years □6-10 years □ More than 10 years

Box6-10 years

☐ More than 10 years

Do you keep production records of your farming enterprise?

Box Yes Box No

Do you have a completed business plan?

Yes ☐ No ☐

Do you have a completed Agricultural Water Quality Plan (AWQP) for your farm?

(https://eec.ky.gov/Natural-Resources/Conservation/Pages/Agriculture-Water-Quality-Act.aspx)

Yes

Yes

No

Have you completed the most recent ag census (2026)? ☐ Yes

□ Yes □ No