Fair Trade Workplace Application Form

Workplace Information
Name of workplace*
Please enter the name of your workplace. This is the name that will appear on your certificate.
Workplace preferred language*

EnglishFrench
Workplace population*
Number of employees/workers
Workplace Address*

Street Address

Street Address Line 2

CityProvince or Territory

Postal / Zip CodeCountry
Workplace Website

1. Steering Committee & Volunteers
A Fair Trade Committee must be formed by workplace’s staff and management to ensure the fulfilment and continued commitment to the Fair Trade Workplace designation. The committee must:
- include one (1) manager and two (2) employees in the committee;
- be responsible for meeting the requirements for Fair Trade designation, including completing and submitting an application form;
- meet as a whole at least twice per year to plan and evaluate its Fair Trade designation. A smaller representation of the committee should meet more frequently to carry out committee responsibilities;
- submit a short annual report online with photos by July 1st to renew their Fair Trade Workplace designation.
In your workplace, is there a committee formed to ensure continued commitment to the Fair Trade Workplace designation?*

YesNo
The committee includes at least (please check all that apply):*
Committee Members*

2. Product Availability
Fairtrade certified coffee, tea, and a third product from a different category (e.g. sugar, chocolate, or bananas) must be made available to both staff and visitors. All coffee and tea served in the workplace and at off site staff events must be Fairtrade certified.
Are Fairtrade certified coffee, tea, and a third product from a different category (i.e., sugar, chocolate, bananas, etc.) made available to both staff and visitors?*

YesNo
Please list products, categories, brands and certifications below
e.g.: Simply Dark Hot Chocolate, Camino (Fairtrade); Organic Bananas, Equifruit (Fairtrade); Wool Cardigans, Ark Imports (Fair Trade Federation)
Are all coffee and tea options served at the worksite and other offsite events also Fairtrade certified?*

YesNo
If you answered "No" to the one of previous questions, please provide an explanation here:

3. Visibility & Awareness
The workplace needs to support its fair trade commitment by having promotional and informational material available to both staff and visitors.
- host at least one (1) fair trade education or awareness event per year;
- ensure the workplace’s commitment to fair trade is visible among staff and visitors through public signage;
- include information about fair trade on the workplace’s website, social media, and newsletter (if any).
Requirements checklist*
Do you have plans to hold an event or presentation during the next 12 months that will provide information on fair trade or the availability of Fairtrade certified products? If yes, please list those activities below (event title, date, description, and products offered if applicable).
Please list all relevant website pages urls below:
Please upload here any relevant pictures or supporting documentation (you can also email them at action@fairtrade.ca):

Cancelof

4. Additional information
We will contact you via email to send your certificate and Designation kit. Can we add your email address to our mailing list to inform you on our latest news?*

YesNo
How did you hear about the Fair Trade Workplace Program?