| Note:
Printable Form available. It can be filled out on your screen before printing. - Word Document.
This document is also available as a downloadable PDF - 169K
Please print and send to:
Alberta Agriculture, Food Processing Development Centre
6309 - 45 Street, Leduc, Alberta, Canada T9E 7C5
ph: (780) 986-4793 fax: (780) 986-5138
In addition, this application form is also available as a fillable PDF document - 1,173KB
This application form can be completed on-line, save it to your hard drive, and email your completed form to the Food Processing Development Centre.
Note: To use this form you must be using Adobe 5.1 or higher. The latest version of the software is available for free from Adobe). |
![](/web/20061208021221im_/http://www1.agric.gov.ab.ca/$department/deptdocs.nsf/ba3468a2a8681f69872569d60073fde1/d8e1ad934f9d550c87256c21006f99f9/Information/0.A70!OpenElement&FieldElemFormat=jpg)
APPLICATION FOR TECHNICAL ASSISTANCE
I. General Information
1. Client: |
2. Contact Person: |
3. Address: |
4. Postal Code: |
5. Phone: | 6. Fax: |
7. Email Address: |
II. Project Description
III. Project Information
1. Intended Market Area: |
2. Current Manufacturing Capabilities: |
3. Current Distribution Capabilities: |
4. Technical Assistance Required: |
5. Type of Contract Requested: Developmental Process Evaluation Interim Processing ![](/web/20061208021221im_/http://www1.agric.gov.ab.ca/$department/deptdocs.nsf/ba3468a2a8681f69872569d60073fde1/d8e1ad934f9d550c87256c21006f99f9/Information/0.6AA2!OpenElement&FieldElemFormat=gif) |
6. Sources of Project Funding: Client and/or Other |
7. Target Completion Date: ![](/web/20061208021221im_/http://www1.agric.gov.ab.ca/$department/deptdocs.nsf/ba3468a2a8681f69872569d60073fde1/d8e1ad934f9d550c87256c21006f99f9/Information/0.764C!OpenElement&FieldElemFormat=gif) |
8. Are you currently working with an AAFRD financial/marketing development officer? Yes No ![](/web/20061208021221im_/http://www1.agric.gov.ab.ca/$department/deptdocs.nsf/ba3468a2a8681f69872569d60073fde1/d8e1ad934f9d550c87256c21006f99f9/Information/0.7E0E!OpenElement&FieldElemFormat=gif)
If No may we forward your name to AAFRD financial/markrting development officers? Yes No ![](/web/20061208021221im_/http://www1.agric.gov.ab.ca/$department/deptdocs.nsf/ba3468a2a8681f69872569d60073fde1/d8e1ad934f9d550c87256c21006f99f9/Information/0.85BC!OpenElement&FieldElemFormat=gif) |
Note: Clients requesting Centre assistance may be required to provide a detailed business plan for review prior to application acceptance. If the application is accepted, clients will be required to comply with minimum insurance requirements. Any processing at the Centre must comply with all appropriate federal and provincial regulations.
The collection of personal information on this application is authorized by the Freedom of Information and Protection of Privacy Act. The personal information will be used to contact the applicant in matters related to this application. If you have any questions about the collection or use of this information, you can contact Karen Erin, Branch Head, Programs, Leduc Processing Centre, 6309 -45 Street, Leduc, Alberta, Canada, T9E 7C5, phone (780) 986-4793, fax (780) 986-5138. |
Requested by: (client/sponsor) |
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