University of Massachusetts Amherst - Auxiliary Enterprises Sustainability
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New Vendor Application
Category
Umass Dining New Vendor Application
Thank you for your interest in working with UMass Dining! The purpose of this form is to gather information regarding your farm or business.
Please fill out this form and s
ubmit a PDF or Word document to kwicks@umass.edu containing a comprehensive list of products. For each product, please indicate: seasonal or year-round availability, capacity (e.g. lbs/week), and price.
Once we have received all of the information, we will review it and be in touch as soon as we can. If you have any questions or want to send additional information not contained in this application, email Kathy Wicks at kwicks@umass.edu. Please be aware that this form is designed solely to gather information and does not guarantee a partnership with UMass.
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Indicates required field
Name of Farm or Vendor
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Contact Name
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First
Last
Email
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Farm or Vendor Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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What is your preferred mode of contact?
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Email
Phone
Other
If Other please specify:
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What types of products does your business sell?
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Produce
Meat (poultry, beef, pork, etc)
Seafood
Eggs/Dairy
Grains/Beans
Specialty Products
Other
If Other please specify:
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Does your farm have insurance? (Farm insurance is a requirement for all farms and vendors.)
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Yes, we have insurance.
No, we do not have insurance.
We are in the process of obtaining insurance.
Other
Farm insurance is a requirement for all farms and vendors.
If Other please specify:
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Do you have a HACCP plan?
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Yes
No
Other
If Other please specify:
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List any certifications held by the farm. If you are in the process of obtaining certifications, list those along with when you expect to have them. If you do not have any, write "none." (E.g. USDA Organic, FairTrade, Certified Humane, GAP, etc.)
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Where do you currently sell your products? (E.g. Names of institutions, grocery stores, restaurants.)
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Do you sell your products wholesale?
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Yes
No
Do you work with a wholesale distributor?
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Yes (please write which distributor you work with in the "other" section below)
No
No, but I am willing to consider working with one.
Thank you for filling out this form! If there is any other information about your farm that you would like to share (i.e. history, practices, etc.) feel free to write that here.
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Submit