Double Up Oklahoma - Farmers Market Application

Contact Information

Please refer to Section 1: Contact Information in the Application Guide for additional information on this section.

If you experience issues or have questions about this application please email Samuel.Kirzner@hungerfreeok.org or call (918) 703 0047.

Question Title

* 1. What Farmers Market are you applying on behalf of?

Question Title

* 2. Please provide contact information for the primary contact for this program below:

This person will be the primary point of contact for program-related information and communications.

Name *

Company *

Address *

Address 2

City/Town *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 3. What is the primary contact's preferred method of communication from Hunger Free Oklahoma?

Question Title

* 4. Please enter the following information for the 2020 Farmers Market season:

Farmers Market Name

Market Phone Number

Market Email Address

Market Website

Market Manager's Name

Market Manager's Phone Number

Market Manager's Email Address

Question Title

* 5. Please enter the following address information for the Market in 2020:

Physical Address of the Market Location

City of Market Location

Zip code of Market Location

County of Market Location

Question Title

* 6. Please enter the Market's season start date.

Date

Question Title

* 7. Please enter the Market's season end date.

Date

Question Title

* 8. Please enter the days and times of operation for the Market.

Please follow this format: Day of week, 0:00 AM to 0:00 PM. Only enter 1 day and time per text box.

Question Title

* 9. Which food assistance programs will the Market participate in this season (2020)? (Select all that apply).

SNAP

Senior Farmers Market Nutrition Program

WIC Farmers Market

None

Other (please specify)

Question Title

* 10. What is your USDA FNS Permit Number for SNAP Authorization?

This is a seven-digit number (usually starting with 0) which your market was assigned by the USDA Food and Nutrition Service (FNS) when you became authorized to accept SNAP benefits.

Double Up Oklahoma - Farmers Market Application

Contact Information

Question Title

* 1. What Farmers Market are you applying on behalf of?

Question Title

* 2. Please provide contact information for the primary contact for this program below:This person will be the primary point of contact for program-related information and communications.

Question Title

* 3. What is the primary contact's preferred method of communication from Hunger Free Oklahoma?

Question Title

* 4. Please enter the following information for the 2020 Farmers Market season:

Question Title

* 5. Please enter the following address information for the Market in 2020:

Question Title

* 6. Please enter the Market's season start date.

Question Title

* 7. Please enter the Market's season end date.

Question Title

* 8. Please enter the days and times of operation for the Market.Please follow this format: Day of week, 0:00 AM to 0:00 PM. Only enter 1 day and time per text box.

Question Title

* 9. Which food assistance programs will the Market participate in this season (2020)? (Select all that apply).

Question Title

* 10. What is your USDA FNS Permit Number for SNAP Authorization?This is a seven-digit number (usually starting with 0) which your market was assigned by the USDA Food and Nutrition Service (FNS) when you became authorized to accept SNAP benefits.

* 2. Please provide contact information for the primary contact for this program below:

This person will be the primary point of contact for program-related information and communications.

* 8. Please enter the days and times of operation for the Market.

Please follow this format: Day of week, 0:00 AM to 0:00 PM. Only enter 1 day and time per text box.

* 10. What is your USDA FNS Permit Number for SNAP Authorization?

This is a seven-digit number (usually starting with 0) which your market was assigned by the USDA Food and Nutrition Service (FNS) when you became authorized to accept SNAP benefits.