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

Address * 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 & Grant Reporting Information

Your response will not affect your eligibility for Food Innovation programs. We may use this information for grant eligibility, funding applications, and demographic reporting in support of our non-profit organization.

Household Income * Required

Household Size * Required

Please include people who live with you and share financial resources or are financially dependent on the household. Do not include roommates or others who live with you but maintain separate finances.

Age Range * 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.

Does your business have a formation document on file with the state? * Required

This may be called Articles of Incorporation, Articles of Organization, or another formation document depending on your business structure. If you are a sole proprietor and do not have this document, you may leave this field blank.

Yes

No

Sole Proprietor

I'm not sure

*If yes, please upload a copy of your business formation 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)