Hemp Grower Application

  • MM slash DD slash YYYY
  • Name of the applicant business registered with Rosebud Sioux Tribe (if applying as a business)
  • Key Participant Information

    All key participants must be listed on this form. Key participant is a person or persons who have a direct or indirect financial interest in the entity producing hemp, such as an owner or partner in a partnership or anyone who exercises executive managerial control. A key participant also includes persons in a corporate entity at executive levels including chief executive officer, chief operating officer and chief financial officer. This does not include such management as farm, field or shift managers. The FBI Identity History Summary Check dated no more than 60 days prior to application must be submitted to the Hemp Commission via mail for each individual listed below. You will receive a mailing address for the FBI Identity History Summary to be sent via email after submitting this application.
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Site Information

    One site only per application. You must file a separate application for each site (contiguous area with a single hemp variety)
  • Choose all that apply (must choose at least one) and use shift key to select multiple choices
  • Section, Township and Range
  • You can obtain GPS coordinates using Google Maps free app on your smart phone. Location ID means the unique identifier established by a licensee for each unique set of GPS coordinates where hemp is cultivated, handled, or processed.
  • Certifications

    Please check the box next to each of the following statements acknowledging your agreement and acceptance.