Transition to Regenerative Agriculture

Use the form below to apply today.

CERNA Producer Eligibility Self-Assessment

Center of Excellence for Regenerative Native Agriculture (CERNA)
3345 B Thrasher Rd. White Cloud, KS 66094

Instructions:
Please fill out the form below. When you are finished, press submit and our Enrollment Coordinator will review your information and reach out to guide you through the next steps of the enrollment process.

Thanks for contacting us! We will be in touch with you shortly.

Why do you want to enroll with CERNA? Please select the category that is most applicable to you and your operation:

Financial BenefitEnvironmental BenefitNew Market OpportunityPartnership or NetworkingCultural BenefitOther (specify)

Other reason for enrollment *

Point of Contact Name *

Tribal Affiliation (if applicable)

Farm Business Name (if different from Point of Contact name)

Email Address *

Home Phone

Office Phone

Preferred Method of Contact PhoneEmailText

When is the best time to reach you?

Home / Mailing Address

County or Counties where your farm(s) are?

Please provide the name of your county FSA office

Producer Eligibility Requirements

In order to be eligible for an incentive payment, a producer must:

Establish Farm Records with the Farm Service Agency (FSA) (have farm, tract, and field numbers in place);
Complete an AD-2047 (Customer Data Worksheet) to facilitate the collection of customer data for Business Partner Record);
Certify highly erodible land conservation (HEL) and wetland conservation (WC) compliance via Form AD-1026, Highly Erodible Land Conservation (HELC) and Wetland Conservation (WC) Certification; and
Certify that they are not a foreign person or entity.

Farm, tract, and field numbers are required for the producer as well as to certify and maintain HELC/WC compliance.

This will require that some producers who do not already have these numbers, like perennial crop growers or feedlots, establish these records with USDA’s FSA. Farm, tract, field numbers, acreage, producer name, and other practice data will be provided by CERNA to our USDA National Program Officer as a part of our routine grant reporting.

We must ensure that producers receiving financial assistance or incentives through this project use the same name as is included in the relevant FSA Business File for that Farm ID in any contracts or similar documentation kept by the recipient (CERNA).

Yes, I self-certify that I am currently eligible or may be eligible for this program but require additional assistance.No, I am not currently eligible and am unwilling to meet eligibility requirements.

Do not fill this field.