New Market Application/Questionnaire
Required submission for participation in the Farmers' Market LIFE Consortium
Name of Market *
Your answer
Location of Market: *
Cross Streets if address is not available
Your answer
Is the market certified? *
How long has the market been in operation? *
Your answer
How long has a manager been at the market? *
Your answer
Do you already own/operate an EBT Machine at the Market? *
How many years has an operational EBT Machine been at the market?
Your answer
How many transactions did you have in CalFresh last year? Do you foresee that staying the same next season? Why/why not? *
Your answer
Do you currently operate an incentive program at your market? Has one been operated in the past?
Your answer
Are you willing and able to provide in-kind match in the form of staff/volunteer hours? *
Are you able to attend a monthly Market Manager Meeting?
Why do you want to join Farmers’ Market LIFE? What are the benefits for your market? *
Your answer
After reading through the description and requirements, do you believe your market has the capacity to follow through on the requirements? Is there anything that you are worried about not being able to accomplish or that you would require extra support? *
Your answer
This is a working group that requires more than just distribution of the incentives. What resources or experience will your market/s bring to FM LIFE? For example, graphic design, Spanish speaking, marketing, etc *
Your answer
What are the community needs surrounding your market? Is there a high population of CalFresh users in your area? How many? Who will you work with to help get the word out to CalFresh users? *
Your answer
What is your projected incentive budget? What percentage of the dollar-for-dollar community match do you feel confident that you can secure? *
Your answer
Do you have any questions or concerns? *
Your answer
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