Food Venture Bootcamp Form - Region 10 Colorado

Applicant’s name

Applicant's name

First

Last

Home address

City

State/Province

Zip/Postal

Email

Phone

Business name (if applicable)

Business address (if applicable)

City

State/Province

Zip/Postal

Business website (if applicable)

Business social media link

Provide a detailed description of your business or business idea

In which type of facility does your business operate

Not yet in business

Operating in a home kitchen

Operating in a shared/commissary kitchen

Operating in a stand alone kitchen or mobile unit

Operating in a co-packer

Approximate annual sales (if not yet in business, put “0”)

Do you have a current Food Safety Handler or Food Safety Manager certification?

Food Safety Handler

Food Safety Manger

None

Do you have previous experience in the food industry as an owner or employee?

Yes

No

If yes, please describe your past experience including number of years, position(s), and types of product(s) or service(s)

Identify 2-3 key milestones or goals that you feel are critical for your venture over the next 6-12 months

Identify the areas where you need support most immediately (check all that apply)

Startup

Funding

Food industry regulatory compliance: labeling and nutrition information; health code

Recipe development

Packaging

HR: employee hiring/retention; employee management; employment law compliance

Marketing, branding, and customers

Finances and cash flow

Do you have internet, video, and audio capabilities to support participation in an online program?

Yes

No

I understand that this is a 12-week program and I commit to attending all sessions. Sessions are every Wednesday 11 am – 1:30 pm (MDT) from May 3rd through July 19th. The cost for this program is $295.

Yes

No

I understand that this is a pilot program being tested by the SBDC at a discounted price and I will be required to provide feedback about my experience of the program to the SBDC following completion.

Yes

No

Name

First

Last

145 S Cascade | Montrose, Colorado 81401 | Phone: (970) 249-2436 | admin@region10.net