2020 FMNCP Community Partner Application

This application is for Community Partners for the Farmers' Market Nutrition Coupon Program

Applications close: February 29, 2020.

Please contact nutrition@bcfarmersmarket.org if you have any questions.

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* 1. Name of Organization

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* 2. Name of Program (if different than organization name)

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* 3. Mailing Address

Street Address

City

Province

Postal Code

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* 4. FMNCP Primary Contact

Name

Phone

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* 5. FMNCP Secondary Contact

Name

Phone

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* 6. The following criteria are required to be a program partner. Please check all that apply to your organization:

Has an organizational structure, including a name and a sponsoring organization (such as a non-profit community agency)

Serves lower-income pregnant women, and/or

Serves lower-income families with children, and/or

Serves lower-income seniors

Has a designated program coordinator (paid or unpaid)

Add any other groups you serve:

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* 7. Below are the expectations and responsibilities for your organization when it comes to administering the FMNCP program. Please check all that you are able to meet.

Support program participants with necessary engagement to build their food literacy

Ensure that any food programs are in compliance with food safety and health authority requirements

Select program participants who qualify and are willing to participate

Provide a program orientation for participants

Provide ongoing support for participants about the program

Establish a regular distribution of coupons to participants (weekly is best practice)

Collaborate with your partner farmers’ market to make the program successful

Participate in a one-day orientation in your region (travel expenses will be reimbursed by BCAFM)

Participate in two conference calls during the course of the program

Provide weekly online reports of coupon distribution

Compile and submit additional reports

Participate in an evaluation of the FMNCP

Please provide details for any box you did not check above.

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* 8. How many families / seniors / pregnant people, would you like to provide coupons to each week?

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* 9. The program operates between early June and October. If you have any extended closures, please let us know how you will manage the program during that time.

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* 10. Please list any other community partners who you will engage with for the FMNCP (include partners who may deliver food literacy activities, distribute coupons, provide referrals to the program)

Name of Organization/Program

What role will they play in the FMNCP?

Name of Organization/Program

What role will they play in the FMNCP?

Name of Organization/Program

What role will they play in the FMNCP?

Name of Organization/Program

What role will they play in the FMNCP?

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* 11. Do you provide activities that help build food literacy?

Yes

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* 12. If yes, please tell us what you offer (eg. workshops and classes on eating on a budget, cooking, preserving, reading food labels, etc.)

What is the name of the program?

Who participates?

Please describe the program.

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* 13. In addition to and / or in lieu of formal programs, what else will you do to increase food literacy of participants?

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* 14. Which farmers market(s) are you working with?

Name of Market:

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* 1. Name of Organization

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* 2. Name of Program (if different than organization name)

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* 3. Mailing Address

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* 4. FMNCP Primary Contact

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* 5. FMNCP Secondary Contact

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* 6. The following criteria are required to be a program partner. Please check all that apply to your organization:

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* 7. Below are the expectations and responsibilities for your organization when it comes to administering the FMNCP program. Please check all that you are able to meet.

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* 8. How many families / seniors / pregnant people, would you like to provide coupons to each week?

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* 9. The program operates between early June and October. If you have any extended closures, please let us know how you will manage the program during that time.

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* 10. Please list any other community partners who you will engage with for the FMNCP (include partners who may deliver food literacy activities, distribute coupons, provide referrals to the program)

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* 11. Do you provide activities that help build food literacy?

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* 12. If yes, please tell us what you offer (eg. workshops and classes on eating on a budget, cooking, preserving, reading food labels, etc.)

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* 13. In addition to and / or in lieu of formal programs, what else will you do to increase food literacy of participants?

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* 14. Which farmers market(s) are you working with?

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* 15. Please describe how you and the farmers' market will work together to make the program successful?