Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Age Range
*
-Choose One-
18 – 24
25 – 34
35 – 44
45 – 54
55 – 64
65+
Gender
*
-Choose One-
Female
Male
Other
Education Level Completed
*
-Choose One-
No schooling completed
Nursery school to 8th grade
Some high school, no diploma
High school graduate, diploma or the equivalent (for example: GED)
Some college credit, no degree
Trade/technical/vocational training
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
Ethnic Origin
*
-Choose One-
White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian / Pacific Islander
Other
Employment Status
*
-Choose One-
Employed for wages
Self-employed
Out of work and looking for work
Out of work but not currently looking for work
A homemaker
A student
Military
Retired
Unable to work
Household Income
*
-Choose One-
$0 – $9,999
$10,000 – $29,999
$30,000 – $49,999
$50,000 – $69,999
$70,000 – $99,999
$100,000 – $149,999
$150,000 or $199,999
$200,000 – $249,999
$250,000 or more
Do You Have Any Disabilities?
*
Do You Have Any Food Allergies?
*
Access to Portable Internet
*
Our training program will be a blend of in-person classroom sessions and online webinars. Do you have access to a device capable of accessing the internet?
If No, what is your plan to access and complete the online portions of the course?
Are you currently a business owner?
*
If Yes, please tell us more about your business
Is your business applying for a Grower and/or Processing license in 2019?
*
If yes, are you willing to partner with other entrepreneurs?
If you are not applying, what is keeping you from applying for a license this year?
Is your business affiliated with any medical cannabis business in another state or country?
*
Please select which modules you are most interest in learning about?
*
Check all that apply
I am knowledgeable about the medical cannabis industry in Maryland
*
I am knowledgeable the about Medical Cannabis laws in Maryland and the USA?
*
I am knowledgeable about current medical cannabis product on the market in Maryland
*
What do you expect from and hope to accomplish from this training program?
*
