BUSINESS INFORMATION

Provide your company contact information, and complete the eligibility questions below.

Full Legal Business Name:

Title

First / Given Name(s)

Last/ Family Name(s)

Position:

Direct Phone Number:

Email:

Confirm Email:

Please Note: Email will be our primary source of communication; therefore, it is very important that your email address is typed correctly in your application. Check your email inbox regularly, as well as the junk mail folder, for program updates.

Profile password

Please Note: Your profile password is very important, and will be used throughout the duration of the program! The password is used to login and view the status of your application.

Official Business Address: The physical location of your business operations

Address Line 1:

Address Line 2:

City/Town/Village:

Province:

Postal Code:

Telephone: (xxx) xxx-xxxx

Company Website:

Mailing address differs from business address?

What region is your business located in?

Mailing Address for Agreement (If different from business address): The appropriate mailing address for your business to receive mail from the program.

Address Line 1:

Address Line 2:

City/Town/Village:

Province:

Postal Code:

Other Telephone: (xxx) xxx-xxxx

ELIGIBILITY REQUIREMENTS

1. Is your agrifood business:	Yes	No
a. a farmer or grower, producing crops for human consumption;
b. a producer or rancher, raising animals for human consumption; or
c. a packer or co-packer, handling food for human consumption

2. Program Participation:	Yes	No
a. Is your business currently participating in the BC Ministry of Agriculture’s Post-Farm Food Safety (PFFS) Program?
b. Is your business currently participating in the BC Ministry of Agriculture’s Traceability Adoption (TA) Program?
c. Is your business currently participating in the BC Ministry of Agriculture’s Traceability Value Chain (TVC) Program?
d. Did your business participate in the BC Ministry of Agriculture’s 2016-2018 Post-Farm Food Safety & Traceability (PFFST) Program or the On-Farm Food Safety & Traceability (OFFST) Program?
If you are currently receiving funding through the On-Farm Program, please acknowledge that you are not permitted to seek funding for the exact same project/ activity in the post-farm program.	I acknowledge

COMPANY PROFILE & BACKGROUND

Let us know about the role your business plays in the industry. Complete the following questions to provide us with a general profile of your business, its products, and its history.


Farmer/ Grower	Producer/ Rancher	Packer/ Co-packer
Food Exporter	Food Importer	Food Distributor
Other, please specify:

4. How many different product lines does your agrifood business have?

5. Please briefly describe the product(s) that your company either produces or handles:

6. Which of the product(s) that your company either produces or handles are you seeking funding for?

7. Please select the North American Industry Classification System (NAICS) Code that aligns with the product(s) that you are seeking funding for. If more than one product, use the button below to “Add another NAICS Code"

8. All livestock, poultry and abattoir operations must be registered in the BC Premises Identification Program . Does this apply to your organization? Registration can happen simultaneously with the application.
Yes No

Are you currently registering for your BC Premise Identification number?
Yes No

Please list your BC Premise ID number:

9. Approximately, how many employees work at your agrifood business? ( both full time & part time staff)

10. Approximately how many of your employees are full time staff or equivalents?

11. Approximately how many of your employees are part time staff or equivalents?

13. How long has your company been in business?
0-2 years 3-5 years 6-10 years Over 10 years

14. Indicate which channels your product is sold through: (select all that apply)

Food Service

Retail

Wholesale

Director Customer

Farmers Markets

Other (please specify):

15. Where are your products sold (select all that apply):

Intraprovincially (within BC)

Interprovincially (outside of BC, but within Canada)

Internationally (outside of Canada)

Not Applicable, please specify:

Please indicate which countries your product is sold to: ( Control + click to select multiple countries )

16. Do you plan to expand your markets:
No Unsure Yes (please specify)

PART A: Eligibility Form

BUSINESS INFORMATION

COMPANY PROFILE & BACKGROUND

WHERE ARE YOU NOW?