Food Business Application Apply to be a food business with Appetite for Change! Breaking Bread Pop-up Space, West Broadway Farmers' Market stalls, and Kindred Kitchen rental, all food businesses apply here! Step 1 of 4 25% 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 interested in:* Commercial Kitchen Rental Space at Kindred Kitchen Hosting a pop-up restaurant event at Breaking Bread Cafe A stall at West Broadway Farmers' Market Technical assistance for my business (getting your business started, marketing, social media, etc.) 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:*Detail is encouraged!Why did you decide to get into business?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. Kindred Kitchen time requestedex.) Days, times, typical hours -- Tuesday evenings, 12 hours/month. Kindred Kitchen applicants only. What specific equipment does your food business need?ex.) ovens and large mixers. Kindred Kitchen applicants only. WBFM: 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 marketAre you a registered Farmers' Nutrition Program Vendor?YesNo, and not interestedNo, but I'd like to participateFARMERS: Are you participating in our EBT/Food Stamp Token Program?YesNo, and not interestedNo, but I'd like to participateFARMERS: 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:2019 WBFM Dates Select All First Taste -- Pre-season event. Date TBD June 14 June 21 June 28 July 5 June 12 July 19 July 26 August 2 August 9 August 16 August 23 August 30 September 6 September 13 September 20 September 27 October 4 Please select all dates you intend to participate in. For more information contact email@example.comAre you interested in participating in any additional market opportunities? Indicate here. Mini-markets at Breaking Bread Cafe FLOW Northside Arts Crawl Any additional market opportunities ALL FOOD VENDORS: Upload your insurance hereAccepted file types: pdf, jpg.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). ALL FOOD VENDORS: Upload your business license hereAccepted file types: pdf, jpg.ALL VENDORS: Upload your ST-19 Form hereAccepted file types: pdf, jpg.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 you'd like us to see here.Accepted file types: jpg, gif, png, pdf.