Co-op Intake - Rocky Mountain Farmers Union

Co-op Client Intake Form

The Co-op Intake Form is to be completed when meeting with a new co-op client. Complete this form to the best of your knowledge. We understand this may be the beginning stages of the project but the following questions are used to measure where you are at in project development and how we can best assist you.

Prefer a hard copy form? Download a PDF, here.

Project Contact Information

Are you a RMFU Member?(Required)

YES

I would like more information on becoming an RMFU Member.

Name of Person Completing the Form(Required)

First Last

Additional Person

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

County(Required)

County

Phone

About the Project:

1. What developmental stage is your project/business/organization at? (check all that apply.)(Required)

Conceptual/brainstorming stage

Planning and organizing stage

Start-up stage

Early operational stage (1-2 years operating)

Operational stage (3 years or more operating)

Tell us about your group

Number of Staff?(Required)

Number of Volunteers?(Required)

Number of Members/Beneficiaries?(Required)

Number of Board Members?(Required)

Number of Steering Committee (or similar committee/group) members(Required)

2. Describe the vision or mission for your project (please offer as many details as possible, even if the organization is in a very early stage).(Required)

3. What is the demographic and geographic focus for your project (target groups/customers and business/service regions)?(Required)

4. Please describe any other specific needs or plans for this project.(Required)

5. Include any supplementary information (for example documents attached; or URLs):(Required)

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