Name:
Name of Farm:
Address:
Phone:
E-Mail
Website:
Please describe briefly your farm/farming operations including number of acres
farmed, products raised or grown, animals raised etc.
Is your farm Certified Organic and/or Biodynamic _________
If yes, who is the certifying agency _______________________________
(If you are a Certified Organic Farmer please skip those questions that do not apply)
If not certified please describe current farming practices:
Are your seeds sourced non-GMO? ___________________________________
Are all of the products used on your farm either for production or processing
approved from the OMRI materials list? ________________________________________
(OMRI is the Organic Materials Review Institute that produces a complete directory of
products allowed for organic production and processing. OMRI is a national non-profit
organization which determines which input products are allowed for use in organic
production and processing. OMRI listed or approved products may be used in
operations that are certified organic under the USDA National Organic Program. For
more information and a complete listing of approved products please check out their
web site at www.omri.org or for more information contact Oryana at 947-0191 and ask
for Sandi or Joan. For your convenience there will be a copy of the OMRI Directory at
our Customer Service Desk.
If you use inputs on your farm that are not OMRI approved please list them and the
purpose for which they are used.
What methods do you employ to build up your soils?
How would you describe your environmental practices?
Animal Farmers:
Do you raise animals for meat ______ dairy ________ eggs ________
Do you raise your animals without the use of antibiotics or synthetic hormones? _______
Do you grow your own grain/feed for your animals? _______
If yes, what crops do you grow? __________________________________________
Do you use non-GMO seed for these crops? _______
If you purchase feed do you source: certified organic grain __________
*sustainably grown grain from non-GMO seed? ____________
other __________________
*Oryana chooses to define sustainable as following organic production and processing
practices and using only those products listed in the Omni Products List on your farm
and in your farming practices.
Are you able to source organic or *sustainably grown, non-GMO feed locally? _______
Are you able to purchase enough local clean, non-GMO feed to meet your needs? _______
If not, how far do you travel for animal feed? ______________
What quantities do you purchase and at what cost? _______________
Do you have fallow acreage available for growing feed grains that is not in production
at this time? ______________
Would you be interested in growing grains for feed for the local market? ____________
If you are raising cattle for beef are they:
100% grass fed? _______________
Do you supplement with grain? ______________________
If yes what type of grain and for how long? _________________________
Are the cows “finished off” with grain prior to butchering? ________________________
If you are a poultry farmer what is the size of your flock _______________________
Are the birds cage free or free range? _____________________________
What do you feed your birds?_____________________________________
As a Farmer what do you see as your biggest challenge to your ongoing success?
How can Oryana be of greater assistance to you?
Signature______________________________________________________
Date ___________________________________
Return form to: Oryana, 260 E. 10th St. Traverse City, MI 49684