North Valley Food Hub Grower Application
Farm Business Name
*
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like an additional contact person on file? If so, put their name and phone number here:
Contact Email (pick lists and marketplace communications will be sent here)
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your farm address different than your mailing address?
Yes
No
Farm Address (if different than mailing address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please submit proof of your farm business liability insurance (a photograph is acceptable).
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Is your operation certified organic?
Yes
No
If so, what is your organic certifying organization?
Do you have any other third-party certifications? If so, please list them below:
The Food Hub's online marketplace will create a profile for your farm. If you'd like to share your story, please do so here. Add any additional information you'd like, ie: specialized growing practices, family heritage, etc.
Please share your website and and social media handles
You will have a profile picture on our online marketplace, and are able to share up to two additional photos. Please upload them here.
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What crops do you plan on selling through the North Valley Food Hub?
*
The North Valley Food Hub is committed to the safety of our food system. By submitting this application, you are affirming that you are in compliance with all applicable food safety laws and regulations, including the FDA Food Safety Modernization Act.
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I understand.
The North Valley Food Hub promotes the use of Climate-Smart practices. The USDA has designated the following practices as Climate-Smart. Please check all that you use on your farm.
Alley Cropping
Conservation Cover
Conservation Crop Rotation
Cover Crop
Critical Area Planting
Field Border
Filter Strip
Hedgerow Planting
Mulching
Nutrient Management
Pasture and Hay Planting
Pest Management Conservation System
Prescribed Grazing
Range Planting
Residue and Tillage Management, No Till
Residue and Tillage Management, Reduced Till
Riparian Herbaceous Cover
Riparian Forest Buffer
Silvopasture
Soil Carbon Amendment
Soil Health Testing
Stripcropping
Tree/Shrub Establishment
Tree/Shrub Site Preparation
Windbreak/Shelterbelt Establishment and Renovation
Woody Residue Treatment
Are you enrolled in any of the following programs for the current or coming year?Id so, please mark all that apply:
CDFA Healthy Soils Program (HSP)
NRCS Regional Conservation Partnership Program (RCPP)
NRCS Environmental Quality Incentives Program (EQIP)
NRCS Conservation Stewardship Program (CSP)
Other
I affirm that all information provided in the above document is accurate to the best of my knowledge.
*
I agree
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