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Keystone Development Center

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Basic Information
Note: This form allows for an initial Intake conversation. To move forward with the Co-operative Academy or Technical Assistance, you will need 3 to 5 (min.) credible individuals identified on your Steering Committee. You will be contacted within 24 hours.

* Indicates required field

Your Name *

Your Group's Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Fax *

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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Do you have a budget for technical assistance? *

Yes No

As a result of KDC’s assistance, what outcomes are you seeking? *

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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? *

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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

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