| Peer Reviewer Application and Qualifications Form |
| For the Specialty Crop Multi-State Program |
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| Complete the information below to indicate your qualifications to review SCMP proposals. Email this completed form and your résumé to janise.zygmont@ams.usda.gov. The subject line of the email message should read SCMP Reviewer Application. For more information about the grant program, visit http://www.ams.usda.gov/services/grants/scmp. |
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First Name: |
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| Job Title: |
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| Organization Name: |
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| Organization Address: |
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| Office Phone: |
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Cell Phone (optional): |
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| Email Address: |
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| Employer Type: |
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Federal (specify Agency) |
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State Agriculture Department |
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University or College |
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Producer Organization/Association |
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Other (specify) |
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| Areas of Expertise (check all that apply): |
| Food Safety |
Production |
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Production |
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Plant Pests and Diseases |
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Post Harvest/Handling/Processing |
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Invasive Plants/Weed control |
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Producer/Processor Education/Training/Tech Assistance |
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Soil Science/Nutrients/Cover Crops/Fumigation |
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Traceability |
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Genetics/Plant Breeding/Cultivar Selection/New Varieties |
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Microbiology |
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Mechanization/New Technology |
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Consumer Education |
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Water Issues including irrigation, drought mitigation |
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FSMA Requirements |
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Increasing Yields/Efficiency |
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GHP, GAP, GMP |
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Aquaponics/Hydroponics |
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Other (specify) |
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Greenhouse Production |
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Ecosystems/IPM/Pollinator Habitat |
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Other (specify) |
| Marketing/Promotion |
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Market Assessment |
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Exporting Specialty Crops |
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Market Development/Marketing campaigns |
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Local/Regional Food Marketing Issues |
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Consumer Education/Preferences |
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Other (specify) |
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| Other |
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General Producer Training/Technical Assistance |
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Food Technology/New Product Development |
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| Crop-Specific Expertise: |
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Fruit |
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Vegetables |
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Tree Nuts |
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Nursery/Horticulture |
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Floriculture |
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Other (specify) |
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| According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581- -0240. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable sex, marital status, or familial status, parental status religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (not all prohibited bases apply to all programs). Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer. |