Program Interest Form

Contact Information

Name * Required

Pronouns * Required

She/her

He/him

They/them

Another pronoun(s)*

Prefer not to answer

*If you selected "Another pronoun(s)" to the previous question, please specify.

Phone * Required

Email * Required

How did you hear about us? * Required

*If you selected "Other" to the previous question or were referred by an individual, please provide us with more information.

Personal Demographics Information

Household Income * Required

What is your gender? * Required

Do you identify as a member of the LGBTQIA+ community? * Required

Are you a veteran of the U.S. Armed Forces? * Required

Are you of Hispanic, Latino/a/x, or Spanish origin? * Required

How would you describe your race? (Select all that apply.) * Required

*If you selected "Another Race" to the previous question, please specify.

Do you identify as an immigrant, refugee, or displaced person? * Required

Which languages do you speak at home? * Required

How would you rate your fluency in English? * Required

*If you selected "Other" to the previous question, please specify.

Business Information

Company Name * Required

How long have you been in business? * Required

Year Established

Do you have any food service industry experience? If yes, please explain. * Required

Business Facebook

Business Instagram

Business Category * Required

Agricultural Producer/ Farmer

Baked Goods Producer

Beverage Producer

Brick-and-Mortar Business

Catering

CPG (Packaged Food or Beverage)

Education/ Food Instruction

Food Truck/Trailer

Meal Prep/ Meal Kits

Mobile Food Business

Prepared Food Maker (Non-Baked)

Value-Added Producer (Non-Baked)

Where do you currently produce your food products? * Required

Is this business currently your full or part time job? * Required

Product Type * Required

Baby Foods

Baked Goods

Baking or Ingredient Mixes/Rubs

Beverages

Candies and Confectionary

Dairy and Eggs

Fermented Foods

Frozen Foods

Grains/Cereals/Pastas

Meat/Jerky/Pates

Non-Food Products

Oils or Vinegars

Other

Product Considerations (Vegan, Gluten Free, CBD-infused, Halal, Kosher)

Raw Agricultural Processing

Ready to Eat Foods/Meals

Sauces/Seasonings

Seafood

Snacks

Soups/Stews/Beans

Spreads/Syrups/Jams

Vegetables/Fruits

Do you have an active Servsafe Manager Certificate? * Required

Yes

No

I'm not sure

*If yes, please upload a copy of your certificate here.

If you have a business plan, please upload it here.

Is your business registered with the State of Ohio? * Required

Yes

No

I'm not sure

*If yes, please upload your proof of business filing.

Does your business have an EIN (employer identification number) * Required

Yes

No

I'm not sure

*If yes, please upload proof of your EIN.

Do you have a business bank account? * Required

Yes

No

I'm not sure

*If yes, please upload proof of your business bank account.

This can be a letter from your bank.

Tell us about a business skill or topic that you would like to improve on/feel more confident in. * Required

Is there anything else you would like to tell us about you and/or your business?

Which programs are you interested in? (select all that apply)

Findlay Kitchen (commissary kitchen)

Findlay Learn (food business education)

Findlay Launch (storefront accelerator)