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Farm Bureau ACTS of Kindness Submission Form
Acknowledge a Need | Call to Action | Tell the farm story | Submit your experience.
Submit information about your acts of kindness before March 13, 2021 at noon EST.
Each act of kindness must be submitted on a separate form.
Contact Information
First Name
Last Name
Email Address
State
Role
Farm Bureau Member
Farm Bureau Staff
Program Affiliation
Promotion & Education
Women's Leadership
Young Farmers & Ranchers
How was your act of kindness performed?
Alone
In a group
How many people were in your group?
How much time did you spend on your act of kindness?
Hour(s)
Minutes
How much money was spent on you act of kindness?
Money contributed/gifted
How many people did your act of kindness directly impact?
Number of people
What type of act of kindness did you perform?
A surprise purchase
Written card/letter
Donated food or items
Donated blood
Donated money
Helped a neighbor/community member (yard, pets, kids, trash, mail, etc.)
Made something from scratch to gift/donate (food, masks, etc.)
Created or participated in an ag education effort
Donated ag education materials
Other
Done
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