Tenant Application

Tenant Application

Cameron County Chamber of Commerce Incubator Kitchen 24 West Fourth Street Emporium PA 15834
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail
example@example.com
Business
Business Name*
Business Address if Different from Above*
Business Status*

Pre-VentureNew (1st year)Existing
Date Business Started

MonthDayYear
Date
Legal Status*

Sole ProprietorshipCorporation (EIN)Limited Liability Company (EIN)
Type of Business*

Specialty Food ProducerCatererBakerFarmers Market VendorFood Truck/Trailer
Other:
Where are you currently preparing food?*

HomeCommissary kitchenFood Truck/TrailerNot yet preparing food commercially
What business insurance policies do you currently have in place?*

Product LiabilityGeneral LiabilityWorker's CompensationNone
How familiar are you with the regulatory processes governing the products that you plan to make?*

Have approved products in the past.Have some knowledge of the approval process.Have not begun to research the process.
Are you ServSafe Certified?*

Yes and the certification is current.Yes but I will need to re-certify within the next 6 monthsNo
Do you have a business plan?*

YesNo
What products to you make?
Please be specific. Example: Baker who sells breads, muffins and fruit based pastries at farmers markets
What kind of equipment do you need?*

Bun/Sheet Pan RackRestaurant Range with Space Saver OvenConvection OvenStainless Steel Work TablesProoferDehydratorSlicerHobart MixerRetortSteam KettleFlash FreezerReach-in RefrigeratorLabel MakerSealer
Other:
Will You Need Storage on the Premises?*

Dry StorageCold StorageFreezer Storage
Approximately How Many Hours a Week Do You Plan on Using the Kitchen?
Will You Have Employees Working in the Kitchen with You?*

NoYes
If yes, How Many?
How Do You Sell, or Plan to Sell Your Product?*

Farmer's Market, Food Truck, Direct to ConsumerRetail to Quick Shops, Specialty ShopsSocial Media or WebsiteWholesale to Restaurants, StoresI Am Not Certain How I Will Sell Products
What Small Business Development Services Would be Useful to You? Check All That Apply*

Starting a Business: Writing a Business Plan, Structuring the Business, Identifying Essential Business NeedsBookkeeping and Financial Analysis: Spreadsheets, Food Cost, Cost AnalysisDetermining Type of Food Business Registration and Requirements that ApplyMarketing: Target Customer, Pricing, AdvertisingBranding: Product Positioning and DesignSocial Media SupportWeb Design/E-commerceLocal Sales Identification (Farmers Market, Pop-up Stand, etc)Product Market Testing (Focus GroupsMicroloans and Loan Application PreparationVenture Capital Investor Identification and Pitch PreparationEmployee Recruitment and TrainingInterviewing Suggestions and Employee Manual PreparationBusiness Mentoring/Coaching: One-on-one Consulting, Group SeminarsNetworking with other Food Entrepreneurs
Date You Would Like to Being Using the Kitchen

MonthDayYear
Date
Should be Empty:

Tenant Application

Business