Indoor Questionnaire

Date
Date Format: MM slash DD slash YYYY
Name
Prefix First Middle Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
SSN #
Facility Information
Number of square footage requested to be in the Oklahoma Industrial Hemp Pilot Program:
(This is actual grow space and storage space for the hemp crop)
What type of irrigation system do you use in your facility?
Describe the facility:
Include structure type, security, etc.
Name(s) of the person(s) or entity who owns the facility and land:
If an entity, who is the decision maker of that entity?
We will communicate with only one person.
Names of all the people who will grow and/or harvest the industrial hemp crop.
Please include contact information for each individual unless information is already provided above.
GPS coordinates for the facility:
What indoor plants do you currently grow?
Is the facility in other federal or state programs?
- Yes
- No
If yes, please explain?
How do you intend to plant and harvest the industrial hemp grown for CBD?
Why do you want to grow industrial hemp?
Please attach an aerial view of the land described above.

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Facility Information