Application for Enrollment
Spice Kitchen Incubator is a program supported by the International Rescue Committee in partnership with Salt Lake County. Spice Kitchen Incubator provides the necessary skills for refugees and new immigrant entrepreneurs to build viable food businesses as a pathway to self-sufficiency, while adding to the diverse food community of Salt Lake County.

This application is for refugees and other community members residing in Salt Lake Valley who are interested in pursuing a food business.

Contact Jackie Rodabaugh if you need any assistance filling out your application or have any questions.
Jackie.Rodabaugh@rescue.org or 385 229-4703

REQUIREMENTS:
1. Low-Moderate Income
2. Entrepreneurial Spirit
3. Community Minded
4. Interest in Developing High Quality Products

***If a refugee, please send a copy of Social Security Card, I-94 or Green Card, a photo ID, and verification of income, or bring documents with you to first meeting.***

If you have one, please attached your business plan.

Email address *
Confidentiality Policy: We will ask you to share some personal information so we are able to determine the impact of the program on its participants once they are admitted. The information you share with us will remain strictly confidential. We will never identify you by name or share your personal information without your signed permission. By continuing with the application, you are stating that you understand the confidentiality policy and give permission to Spice Kitchen Incubator staff to use the given information for program evaluation and reporting purposes. *
Required
What is your full legal name? *
Your answer
What is your date of birth? *
Your answer
Do you have a reliable phone number? This means you can always be reached at the same number and it very rarely changes *
If so, what is your phone number?
Your answer
What is your home address? *
Your answer
What is your mailing address? *
Your answer
What is your email address?
Your answer
Do you have a website? *
If so, what is it?
Your answer
Were you born in the United States? *
If not born in the United States, when did you move to the United States?
Your answer
If not born in the United States, where are you from originally?
Your answer
What is your ethnicity? *
Your answer
Are you a refugee? *
If a refugee, were you resettled by the IRC?
Are you a U.S. Citizen? *
What language(s) do you speak? *
Your answer
Do you have a job or attend school? *
If yes, where do you work or attend school, and what is your regular schedule?
Your answer
Did you graduate from high school? *
What is the highest grade you completed in school? *
Your answer
Highest degree received and name of school?
Your answer
Do you have a disability requiring special accommodation? *
If you do have a disability, please describe.
Your answer
Do you have any medical conditions that might affect your safety in a commercial kitchen? (allergies, medications, etc.)? If yes, please describe
Your answer
How comfortable are you speaking English? *
Required
Are you married? *
How comfortable are you speaking your native language? *
Required
Would you like an interpreter at meetings? *
How many people live in your household? *
Your answer
Do you have a computer at home? *
Do you have any children? If so, what are their ages? *
Your answer
Does your family receive WIC vouchers or food stamps? *
Required
What type of transportation do you have access to? Mark all that apply. *
Required
What is your total gross household income in one year? *
Do you have any professional food industry experience? *
Please describe any professional food industry experience
Your answer
Do you have any culinary training? *
If you have culinary training, please describe
Your answer
Have you ever owned a food business, either in the United States of in another country? *
Please provide 6 food/menu items you are interested in producing *
Your answer
Are you interested in classes or workshops on how to successfully own a food business in the U.S.? *
What types of food business are you currently operating or interested in starting? *
Required
Would any of the following seminars or classes be of interest to you? *
Required
How far are you willing to travel to get to the kitchen? *
How many hours/week would you use the kitchen? *
Your answer
How many times/week would you use the kitchen? *
Your answer
What time of the day would you most often need to use the kitchen? *
Your answer
How many hours are you willing to put in per week? *
Your answer
If you are currently selling a food product, where is it made?
Your answer
What is the name of your business?
Your answer
Do you have a written business plan? (either full or partial) *
Do you need office space? *
Business Status *
If Pre-venture, when do you plan to start?
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If already a business, when did you start?
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Type of business?
Do you have employees? *
If you have employees, how many?
Your answer
Legal Status
What role do you want this business to play in your life (i.e., primary or secondary income)? *
Your answer
I certify that the statements and information in this application are true and correct to the best of my knowledge and belief, and I authorize the International Rescue Committee to investigate all statements or other information contained in this application form and any attachments submitted with it. *
MM
/
DD
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A copy of your responses will be emailed to the address you provided.
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