Food Shed Co-op: Financial Assistance Fund
Please complete the following form to apply for the Food Shed Co-op Financial Assistance Founding Ownership.
Once you submit this form you will be contacted within 5 business days.
If you have any questions or problems please reach out to us at info@foodshed.coop.
Email address *
Applicant's Name *
Your answer
Additional Names of Adults in Household *
Your answer
Street Address *
Your answer
City *
Your answer
State (Must live in IL or WI) *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
What government assistance programs do you qualify for (if any)? *
Your answer
The following is optional, but may increase the likelihood of your application being approved. I need to seek financial assistance because:
Your answer
I would like to become an owner of Food Shed Co-op because... *
Your answer
Optional Promotional Consent: I give permission to the Food Shed Co-op to use my reason for becoming an owner for general public promotional use (NO MENTION WILL BE MADE OF THE FINANCIAL ASSISTANCE PROGRAM). *
Applicant agrees to each condition below by checking each box below: *
Required
Terms and Conditions: *
Required
Digital Signature (type your name) *
Your answer
Please tell us how you found out about the Financial Assistance Fund.
Your answer
A copy of your responses will be emailed to the address you provided.
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