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Keystone Development Center

KDC Co-op Academy Application

Basic Information

KDC Member? *

Yes No - I (We) want to join.

* Indicates required field

Which location would you like to attend? *

Ephrata Public Library - TBD Clarion Free Library - TBD

Your Name *

Your Group's Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please Describe Your Project of Business. Include information on how long your project has been in operation, who your potential members are, what geographical area you hope to serve, the primary need your business is filling in the community and anything else you think we should know about your project *

Please describe your project. Include information on how long your project has been in operation, who your potential members are, what geographical area you hope to serve, the primary need your business is filling in the community and anything else you think we should know about your project

What has your group already completed? *

Formed Steering Committee Feasibility Study Marketing Study Written Business Plan Elected a Board of Directors Adopted a Set of By-Laws Begun an Equity Drive Incorporated The Business

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Which stage of development is your business in? *

Exploratory Organizing Operating

Do you have a budget for technical assistance? *

Yes No

What do you hope to achieve by attending the academy? *

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How did you hear about KDC? *

Referral Google Search Other Cooperative Development Meeting

What core counties do prospective members reside in? *

What counties is the co-op likely to provide service to? *

Note: This page can be used as a paper application. Print and email or mail once complete.

Mail application to: 108F. N Reading Rd. Ephrata, PA 17522 or email to membership@kdc.coop. Attention: Stephen McDow

Submit

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KDC is supported through grants from the USDA Rural Cooperative Development Grant program.
USDA is an equal opportunity provider, employer, and lender. To learn more, please visit www.usda.gov

WEB DESIGN BY CYBERIAD SOLUTIONS.

KDC Co-op Academy Application

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