PA FFFI - Application

Pennsylvania Fresh Food Financing Intitiative Application
To apply for the Pennsylvania Fresh Food Financing Initiative (FFFI) the applicant must first complete this Eligibility Application to determine whether the proposed project is consistent with the goals and objectives of the program. Once a project’s eligibility is determined, the applicant will receive an email disclosing its eligibility status. Eligible applicants will then be invited for a final interview with the PA FFFI team to determine the amount of funding for which they've qualified. All applicants are encouraged to review the FFFI Program Summary & Eligibility Requirements found on thefoodtrust.org/pafffi. For any questions, please email pafffi@thefoodtrust.org.
Screener
Are you a healthy food retailer? Healthy food retailers are grocery stores, farmers markets, healthy corner stores, etc. Emergency food providers are not eligible for funding. *

Yes No
Does your business or project provide access to affordable, healthy food to low-to-moderate income communities? *

Yes No
Does your project accept SNAP? *

Yes No No, but we have applied or are planning to apply for SNAP
Can you demonstrate strong community support for your project? *

Yes No

Project Information
Project Name *
Street/Site Address
If different from business address
County
City
State
Zip
Project site control status at time of application *

Own Lease Negotiating Lease/Ownership Other
In a few sentences, please describe your project, including use of requested funding. *
Estimated Project Start Date *

Month Day Year
Date
Estimated Project End Date

Month Day Year
Date
Current Number of Part-time Employees *
Current Number of Full-time Employees *
Expected # of Additional Part-time Employees (if applicable)
Expected # of Additional Full-time Employees (if applicable)
Total approximate percentage of employees from the local community (upon project completion) *
Employee Hourly Rate (range or average acceptable) *
Existing Retail Square Feet *
If proposing to expand, how many additional square feet will be added?
Estimated % of produce sales after project completion *
Please describe your sources of food (e.g. name of distributor, details on growers, producers, etc.) *
Please indicate your participation in Pennsylvania’s PA Preferred Program or describe any local sourcing efforts *
Does your business accept (if neither, please specify your plans to pursue authorization): *

SNAP WIC Neither Other

Short Answers (2-5 sentences)
Describe how your business serves a low-to-moderate income community. *
Describe how your business's community has limited healthy food retail options. *
Describe your or your team's management experience in food retailing. *
Optional: Please explain if and how your business promotes supplier diversity or increases business opportunities for minority business enterprises. Applications are encouraged from underrepresented business owners, including: Minority Business Enterprises, Women Business Enterprises, SErvice-Disabled Veteran Business Enterprises, Lesbian, Gay, Bisexual and Transgender Business Enterprises, and Disability-Owned Business Enterprises.
Describe the accessibility to the business pursuant to the ADA (if applicable)
Is the business accessible by public transportation?

Additional Documents (required if not answered above)
Applicant Narrative: History of applicant business, management list and qualifications (food market operations and/or real estate development experience). Include resumes for key management if available at this time, as well as a list of all owners and their respective % of ownership.

Cancel of
Project Description: Provide a detailed description of the project, including: current condition, scope of work, fresh food offerings (current/proposed), explanation of project costs, and need for funding. Please provide photos or renderings of project (or other currently operating stores).

Cancel of
Community Support: Provide a short narrative, articles, maps, community letters, or other documentation to demonstrate the community's need and support for the project. Please describe how this store will meet the community's needs by offering affordable, fresh foods

Cancel of
Business Plan

Cancel of

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Pennsylvania Fresh Food Financing Intitiative Application