A Supplemental Category Form is REQUIRED for your Small-Scale Farm Grant Application to be considered.

Are you registered or certified as one of the following? Check all that apply.

— Micro-based processor — Better Processing Control School — Home-based processor

— Commercial processor — Other: _____

What percentage of raw agricultural products do you produce for your value-added products? For example, if you weave rugs from wool, how much wool comes from sheep on your farm?

— 25-50% — 50-75% — 75-100%

— Less than 10% — 10-25%

Are you a Farm Bureau certified farm market?

□ Yes □ No

Do you purchase products from other local farmers for your value-added products? Yes ___ No

PRODUCTS PURCHASED ?

WHO DID YOU PURCHASE PRODUCTS FROM?

How much of an increase in the value of your products do you expect as a result of your processing the product? For example, if you sell tomatoes for $2 per pound and you're able to sell salsa for $2.50 per pound, that is a 25% increase (calculation formula: $2.50 - $2.00 = $0.50 ÷ $2.00 = 25%).

— Less than 10% — 10-30% — 30-50% — 50-70% — 70-90% — 90% or more