Food Day Chicago Collective Event Application

Submission Deadline: August 15, 2013

Please submit your completed application or any questions to fooddaychicago@gmail.com.

Organization name: ______________________________________________________ Address: ________________________________________________________________ Point of contact: __________________________________________________________ Contacts Email: __________________________________________________________ Contacts Phone: _________________________________________________________ Organizations Phone:______________________________________________________ 1. Please categorize your organization. (Check all that apply) Academic institution Health care provider Food service industry For-profit organization Government organization Non-profit organization Professional association 2. How does the mission of your organization fit with that of Food Day?
(Food Day is a nationwide movement toward more healthy, affordable, and sustainable food. Food Day initiatives aim to bring us closer to a food system with real food that is produced with care for the environment, animals, and the women and men who grow, harvest, and serve it.)

Email us! fooddaychicago@gmail.com Find us on-line! Healthierchicago.org/fooddaychi facebook.com/fooddaychi twitter.com/fooddaychi foodday.org

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3. We are seeking an engaging activity from each of our participants. Briefly describe the activity you would like to present at Daley Plaza on Food Day and reference how it engages an audience. Please include the activity length and ideal audience size. Please do not exceed 500 words. Please note that Daley Plaza charges for electricity; we are not able to offer it as Food Day
is an unfunded effort.

4. Which category best suits your activity? ___ Seed swaps/planting ___ Farm/grow innovation ___ Food preparation ___ Harvest/preservation ___ Health and nutrition ___ Food insecurity ___ Soil/compost 5. What is your target demographic for this activity? (Check all that apply.) 12-13 year olds 14-18 year olds 18+

Email us! fooddaychicago@gmail.com Find us on-line! Healthierchicago.org/fooddaychi facebook.com/fooddaychi twitter.com/fooddaychi foodday.org

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6. Indicate the time you would be able to host a booth and activity at the Collective Event: 8am-2pm 2-4pm Either morning or afternoon shift whenever you need us We are available for the entire day 8am-4pm

Connect with us!

7. How are you currently affiliated with Food Day Chicago (FDC)?
Hosted a past FDC event in: 2012 2011 Participated in the 2012 FDC collective event Attended at least one 2013 FDC meeting RSVP to attend our July 23 FDC coordinating meeting from 10-11:30am RSVP to attend our August 20 FDC coordinating meeting from 10-11:30am Subscribed to the FDC email listserv I would like to subscribe to receive updates about FDC. Please include your name and email information: ______________________________________________________________ Supports FDC via social media: Facebook, Twitter, Pinterest

I have read and understood the commitment requirements of a Food Day Chicago Collective Event participating organization on healthierchicago.org/fooddaychi.

Email us! fooddaychicago@gmail.com Find us on-line! Healthierchicago.org/fooddaychi facebook.com/fooddaychi twitter.com/fooddaychi foodday.org