Seasonal Farmworker Harvest Data Collection
Please provide accurate details for each harvest activity to ensure proper records and reporting.
Full Name of Farmworker
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Harvest
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Crop Harvested
*
Please Select
Apples
Grapes
Tomatoes
Berries
Citrus Fruits
Other
Harvest Quantity (in kilograms)
*
Harvest Quality Assessment
*
Excellent
Good
Fair
Poor
Harvest Method
*
Hand-picked
Machine-harvested
Mixed
Field or Block Location
*
Supervisor Name
*
Worker Demographics
Rows
Gender
Age Group
Farmworker
1
Under 18
18-24
25-34
35-44
45-54
55+
Notes or Incidents during Harvest
Submit Harvest Data
Should be Empty: