2019-2020 Appalachian Grown Cost Share Application for Farms and Farm Groups

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To help better identify certified local products in the marketplace, ASAP (Appalachian Sustainable Agriculture Project) is providing cost share funding for Appalachian Grown (TM) certified farms in North Carolina, through support from the North Carolina Tobacco Trust Fund Commission (NCTTFC). These funds can be used for design and production of custom labels, packaging, advertising or promotional materials featuring the Appalachian Grown logo. Preference may be given to packaging, labeling, and signage projects and those who have not received cost share funds in the past. ASAP's cost share operates on a reimbursement basis, for up to 75% of total project costs. The maximum ASAP cost share for 2019-2020 is $1,500 for an individual farm and $5,000 for a farmer group, dependent upon total number of farms in group. For example: two farms in group - max cost share of $3,000; three farms in group - $4,500; four or more - $5,000. Please review the complete list of eligibility requirements before applying

My farm or farm group is Appalachian Grown certified. Appalachian Grown certification is a requirement to receive funds. If your farm or farmer group is not currently Appalachian Grown certified, please create a Local Food Guide listing at https://appalachiangrown.org/users/register

Clear selection

I have read and understand the eligibility requirements for cost share funding. *

https://drive.google.com/file/d/1ocnwO8dQujJ594UV6FVvpA3uMlt-p0uS/view?usp=sharing

Yes

Farm/farm group name *

Farms in my farm group (only for applying farm groups)

Please verify that your farms are Appalachian Grown certified

Applicant name *

Title or position *

Phone *

Email *

Address *

City *

County *

State *

Zip *

Year started farming *

Acres in production *

I agree to reply to a follow-up survey that I may receive from ASAP later on, and to provide pictures of completed projects. I understand that if I do not reply, it may disqualify me from future funding opportunities. I understand that funded projects must include the Appalachian Grown logo, and that funds can be withheld if the logo is not used.

If selected for cost shared funding, I understand that I have 60 days following project approval to complete my approved project and to provide all receipts associated with project costs to ASAP for reimbursement. Additionally I will provide ASAP with a high quality sample, copy, photograph or digital image of funded materials.

Question *

If selected for cost share funding, I understand that I must submit design proofs to ASAP for review and approval, before moving forward with final production.

Farms are eligible for funding from one NCTTFC supported project each calendar year. Have you received funds from any other NCTTFC supported project in 2019-2020, including WNC AgOptions, NC AgVentures, Certified Safe Farm (NCSU) or Agritoursim cost share (NCDA&CS)? *

Yes

I am, or have been, a tobacco farmer *

Yes

If yes, I have grown tobacco from year ____ to year ____

I am farming land that used to grow tobacco, but has been diversified into other crops *

Yes

Are you applying as a farmer group? *

Yes

If yes, my group has ____ Appalachian Grown certified farm members/participants

(number)

How many members of your farm group are current or former tobacco growers?

(number)

Appalachian Grown Cost Share Questionnaire for Farmers and Farm Groups

List items and costs for which you are requesting matching funds. Please provide the best estimate you can at this time. We understand that an estimate may change. You may submit additional cost share applications, up to the allowed amount, to cover future projects. Funds requested can be up to 75% of total project costs (not to exceed $1,500 for individual farms and $5,000 for farmer groups). Funds are available only on a reimbursement basis for awarded projects that were started AFTER receiving approval. Funds can not be used to purchase materials from ASAP (including wax boxes, roll bags, stickers or other materials available through our bulk purchasing program).

Examples of past cost share projects: https://docs.google.com/presentation/d/e/2PACX-1vRs9ib16jDfoAIcgcVO-1q0B_N9246XTyhu4DKA9pupZY1XereRe-8OwyoOkeg3s4F7Hg7IxhAHVM1V/pub?start=true&loop=false&delayms=3000

List all items for which you are requesting matching funds *

List all corresponding vendors from which you will receive items *

List all corresponding costs for items *

Total costs *

Total requested *

Have you or members of your group received Appalachian Grown Cost Share funding in the past? *

Yes

Describe your marketing/promotion strategy and how the matching funds you are requesting will help your farm or group. *

Briefly describe your farm/farmer group including what you grow, how you sell it, and who is involved. *

What goals do you have for your farm or group in the next year? *

Are you listed in ASAP's Local Food Guide? *

Yes

No, but I would like to be

Required

Are you listed in ASAP's online Wholesale Local Food Guide (Farm to Business Trade Directory)?

Yes

No, but I would like to be

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The state of North Carolina requires all recipients of these funds to complete a “State Grants Compliance Reporting for Individuals < $25,000” form, as well as as a “No Overdue Tax Debts or Conflict of Interest” form. These forms will be emailed to you if your application has been approved for cost share funding, but can be previewed here: *

https://drive.google.com/file/d/0B65fWwUKVQe8eHFRZVFhLUtrS1k/view?usp=sharing

I understand that I must submit a “State Grants Compliance Reporting for Individuals < $25,000” form, as well as as a “No Overdue Tax Debts or Conflict of Interest” form to receive cost share funding. Projects will not officially be approved until these forms have been submitted.

Required

Date *

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