A $[dollar amount] non-refundable fee must accompany this application.
Date__________________
Name of person applying __________________________________________________________________
Mailing Address _________________________________________________________________________
Phone numbers (business or work phone, home phone, cell phone) _______________________________
Email __________________________________________________________________
Business Name __________________________________________________________________
FAX __________________________________________________________________
Website __________________________________________________________________
Business partners or associates (names and phone numbers) ____________________________________
Number of current employees other than yourself _______________________________
Business Status (check appropriate box)
- Planning stage (not yet producing)_______
- Less than 1 year_________
- More than a year_________ Year founded__________
Business Structure
- Sole proprietor________
- LLC_____________
- S- Corp_________
- C- Corp__________
- Cooperative________
- Other_____________
- Not yet determined_____________
Do you have a business plan?
- Yes_________
- No__________
If the business is an existing business (more than one year old) please indicate your approximate annual sales or dollar volume
__________________________________________________________________________
Briefly describe your business _______________________________________________________________
Briefly describe the products, including the main ingredients, and the equipment you wish to use in the kitchen
_____________________________________________________________________________________
Where do sell your product or plan to sell your product? (Check all that apply)
- Direct to consumers (e.g. food truck, catering) _______________
- Farmer’s Market ___________________
- Retail stores such as [regional grocer] or [regional grocer]
- Restaurants _______________
- Other (please specify) ___________________
Estimated hours of kitchen usage
- Per week________________
- Per month_______________
- Per year _________________
Preferred times – Note the minimum rental period is two hours
- Weekdays _________Which days? __________________________________
- Saturday ___________
- Sunday ___________
Preferred time of day? Note the space is not available from [time] – [time] [day of week] through [day of week].
_______________________________________________________________________________________
Is your product seasonal?
- No___________
- Yes. I will be making my product in the following months ______________________________________________________
How did you hear about [name of kitchen]? Check all that apply
- Newspaper article _________________
- Word of mouth_________________
- Referred by potential customer____________________
- [name of kitchen] Website __________________
- Email ____________
- Other (please indicate the source)________