West Broadway Farmers Market 2020 Application by Jadea Washington | Apr 20, 2020 | Applications West Broadway Farmers Market Apply to be a vendor at the West Broadway Farmers Market during the 2020 season. Step 1 of 3 - Tell us about your business 33% Name:*Business Name:*Business Address:*This is where your business receives mail, typically your home. Business Website/Facebook page:Food Vendor License Number, if available:If you don't know what this is, that's okay! Please let us know by email if you need assistance with this step. Email Address:*Phone Number:*Preferred method of Contact Email Phone Call Text Message I am a:FarmerPackaged foods VendorReady-to-Eat VendorFood Truck/TrailerOther (please describe in the next question)I have:* A Seasonal Food Vendor Permit Cottage Foods Registration Other food business license No license, but am working on the process with the City of Minneapolis or other licensing agent (Minnesota Department of Agriculture or Minnesota Department of Health) No idea where to begin! Please contact me to provide some assistance for the process of licensing my business. Please describe the product(s) and your business:*Information you provide here may be used for marketing purposes. Detail is encouraged!Why did you decide to get into business?Share your story.What ingredients do you use for your business? Tell us about special varieties you grow/produce, or locally sourced ingredients.Is there anything else you want us to know about your business?Do you have a logo, or photos of your product you'd like to upload? Do so here. Does your business own, or plan to invest in, any of the following equipment? 10x10' Tent Credit Card Reader Table Signage for menu or farmers market Handwashing Station Not sure about any of these - please contact to assist me in purchasing Section BreakFARMERS: Number of owned acres grazed/cultivatedFARMERS: Number of leased acres grazed/cultivatedFARMERS: Number of years farmingFARMERS: Average miles traveled to the marketFARMERS: Are your items certified organic?YesNoIf yes, please attach a copy of your National Organic Standard Certificate as provided by a USDA accredited agent. FARMERS: Do you practice chemical-free farming?YesNoIf no, a list of chemicals and pesticides used is required. If yes, vendors must post "Pesticide/Spray Free" signs.FARMERS: Do you sell any processed food items?YesNoFARMERS: Do you grow or produce all of your items?YesNoIf no, a list of chemicals and pesticides used is required. If yes, vendors must post "Pesticide/Spray Free" signs.FARMERS: If you don't grow/produce all of your items, please explain here:Are you a registered Farmers Nutrition Program S/FMNP (WIC vouchers) vendor?YesNo, but I'd like to participateNo, and not interestedFARMERS: Are you participating in our EBT/Food Stamp Token Program?YesNo, but I'd like to participateNo, and not interested2020 Market Dates Select All June 19 June 26 July 3 July 10 July 17 July 24 July 31 August 7 August 14 August 21 August 28 September 4 September 11 September 18 September 25 October 2 Please select all dates you intend to participate in. For more information contact firstname.lastname@example.orgAre you interested in participating in any additional market opportunities? Mini-markets at Breaking Bread Cafe FLOW Northside Arts Crawl Any additional market opportunities Upload your insurance here.Accepted file types: pdf, jpg, png.All FOOD pop-up vendors, food trucks, ready-to-eat, farmers, value-added, Cottage Food and packaged food vendors with Appetite For Change are required to carry liability insurance. More information about insurance can be found here. Appetite for Change, 1200 West Broadway Avenue must be listed as an additional indemnified (certificate holder). Upload your business license here.Accepted file types: pdf, jpg, png.Upload your ST-19 Form hereAccepted file types: pdf, jpg, png.Visit this link to access the ST-19 form. https://www.revenue.state.mn.us/Forms_and_Instructions/st19.pdfUpload additional pictures, files, or attachments here. Drop files here or Accepted file types: jpg, png, pdf, doc.