FARM APPLICATION If you are interested in applying to have your farm accredited by the Animal Welfare Approved program, please complete this form as fully as possible and mail, fax, or email the completed document to the addresses provided below. Before applying, please review the husbandry standards for the species in question to make sure you feel that they are consistent with your own farming methods and values (www.animalwelfareapproved.org). If you are in need of further information, please contact us. Please forward your completed application to: Farmer Application Animal Welfare Institute P.O. Box 3650 Washington, DC 20027 Ph: 703-836-4300 Fx: 703-836-0400 E-mail: application@animalwefareapproved.org General Information Farmer name: _______________________________________________ Date: ______________________ Farm name: ____________________________________________________________________________ Mailing address: ________________________________________________________________________ Website: ______________________________________ E-mail: _________________________________ Home Phone: _________________________________ Cell Phone: _______________________________ Work Phone: _____________________________________ (Please note your preferred method of contact) Location of farm if different from mailing address: ___________________________________________ _____________________________________________________________________________________ Size of farm (acreage): _________________________ Any other certifications/seals of approval granted to farm: ______________________________________ _____________________________________________________________________________________ How long has your farm been in operation? __________________________________________________ 1 Farm Animal Information Species and breed(s) on farm you are seeking the Animal Welfare Approved seal for: Number: Raised or purchased: ______________________________ ____________________________ _______________________ ______________________________ ____________________________ _______________________ ______________________________ ____________________________ _______________________ ______________________________ ____________________________ _______________________ ______________________________ ____________________________ _______________________ If your animals were purchased as feeder stock, where were they purchased? __________________________ ________________________________________________________________________________________ If your animals were purchased as feeder stock from another farmer, would that farmer be willing to join the Animal Welfare Approved program, as required by our standards? ______________________________________________________________________________________ Describe your farming system and how long you have been operating this way: ______________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Have you visited our website, read and understood the Animal Welfare Approved standards for the species you would like us to certify? Yes ___ No ___ Do you believe you meet the Animal Welfare Approved standards for the species you would like us to certify? Yes ___ No ___ If not, what changes would need to be made? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 2 Please answer the following questions for the species you would like to certify: Sheep and Lambs Do you tail dock your lambs? Yes ____________ No _______________ If you castrate male rams, at what age is it done and how is it carried out? ___________________________ _______________________________________________________________________________________ At what age do you wean your lambs? ________________________________________________________ Beef Cattle and Calves/Dairy Cattle and Calves If you castrate male calves, at what age is it done and how is it carried out? _____________________________ __________________________________________________________________________________________ Do you dehorn your cattle? Yes _____________ No ______________ At what age do your heifers calve for the first time? _________________________________________________ At what age do you wean beef calves? ____________________________________________________________ At what age do you stop feeding milk to dairy calves? _______________________________________________ Pigs Do you teeth clip or tail dock your piglets? Yes ____________ No ______________ If you castrate male piglets, at what age is it carried out? _____________________________________________ At what age do you wean your piglets? _____________________________________________________________ Do you have range or pasture access for your pigs? Yes ________________ No _______________ Poultry Do you have range or pasture access for your birds? Yes ______________ No ________________ If you have ducks or geese, do they have water to swim in? Yes ______________ No ________________ 3 How long does it take for you to rear a meat bird (days) and to what weight do you rear them?________________ ___________________________________________________________________________________________ If you have laying hens, how old are the birds when you dispose of the flock? ____________________________ Do you ever beak or bill trim birds? Yes ____________ No ______________ Goats If you castrate male kids, at what age is it done and how is it carried out? ________________________________ ___________________________________________________________________________________________ Do you de-scent male goats? Yes ______________ No ____________ At what age do your does kid for the first time? ____________________________________________________ At what age do you wean kids from the doe or stop feeding milk to kids? ________________________________ Slaughter Information Are your animals slaughtered/processed for sale? Yes _______________ No ______________ If yes, please supply the name, location, and contact information for your slaughterhouse. If you use multiple slaughterhouses, please list the species that are slaughtered at each. If slaughter takes place on-farm, describe the method used. ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Please note that we must confirm that the slaughterhouse or on-farm facility will allow the Animal Welfare Approved program to conduct a review prior to proceeding with your application. A staff member will ask you to make the initial contact with the slaughterhouse or facility to confirm this. 4 Other Information Are you currently marketing your animal products? If so, how? (website, farmers’ market, co-op, etc.) _________________________________________________________________________________________ _________________________________________________________________________________________ How did you learn about our program? _________________________________________________________ If there are other farmers in your area who might be interested in learning about our program, please provide the name, phone number, and email addresses of those farmers and we will contact them with information. _________________________________________________________________________________________ _________________________________________________________________________________________ By: _____________________________________________________Date: __________________________ (Print & sign) Note: Your application could be delayed if any portions of this application are not answered. _____ If my farm becomes approved by the Animal Welfare Approved program, I do NOT want my farm to be publicized by the Animal Welfare Approved program in a press release or on the Animal Welfare Approved website. All information contained in this application shall remain confidential. Your email address will be added to the Animal Welfare Approved program’s listserv for occasional updates and news items from the program. Your information will not be sold or traded with other organizations. You are free to unsubscribe from the listserv at any time. 5