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Chef/Restaurant Application form 2019
Co-­‐hosted by the Center for Environmental Farming Systems (CEFS) and the North Carolina Agricultural Foundation, Inc.
2019 Farm to Fork Restaurant/Chef Participation Form

As chefs and/or restaurateurs, you are a critical piece of our community and we want you to be a visible and integral part of this weekend. We would like to invite you to apply for participation in the 2019 Farm to Fork Picnic, celebrating local food and local farmers, on June 2, 2019 at Fearrington Village in Pittsboro, NC from 4 to 7pm. This event was conceived to celebrate the bounty of local agriculture and to help build new connections between farms, restaurants, and consumers. You can find more information on www.farmtoforknc.com. We appreciate your interest in the event and your cooperation in filling out this form.

Last year, we were able to provide over $40,000 in support of new farmer training at the Center for Environmental Farming Systems (CEFS) farm in Goldsboro, NC by adding two additional fundraising events for the weekend. This year we will continue our fundraising efforts with one additional event on September 5th, 2019 at Lavender Oaks farm in Chapel Hill with guest speaker Monica White-fellow and professor of Environmental Justice, Wisconsin-Madison & author of Freedom Farmers: Agricultural Resistance and the Black Freedom Movement.

Please complete the form below by March, 15th 2019.

Chef's Name *
Your answer
Restaurants Name *
Your answer
Contact info: email and phone number please *
Your answer
Please list 4 farms/farmers whom you work with to source local ingredients and who you may want to be paired with. Please fill in #4 with anyone if you are flexible with who you are paired with & we will try our best to accommodate you request *
Your answer
Please give us an idea of what dish you may serve. We understand this may change. Please consider vegan and/or vegetarian options *
Your answer
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