Download and compleate one form per group, complete the form as much as you are able and email the form to floridaceed@gmail.com 
Once received an invoice will be sent to each applicant 
for $110.00 

Pay 
Name of your Co-op
Phone
e-mail
Current or Future Address
Submission Date
Industry
Website
Describe in few words what this co-op is about:
Type of co-op (worker-owned, consumer, producer, other):
Co-op Development Stage (pre-feasibility, feasibility, starting up, up and running):
Position/Role
Do you have a steering committee? Yes☐ / No☐
Name
Short Text
If Yes, list their names, roles and skills in the co-op.
Do all members of the steering committee understand and accept the cooperative principles? Yes ☐ / No☐
decisions ☐ Unanimous agreement ☐ Unanimous consent ☐ Unanimous agreement minus one vote, or two votes ☐ Unanimous consent minus one vote, or two votes ☐ Super majority thresholds (90%, 80%, 75%, two-thirds, and 60% are common) ☐ Simple majority ☐ Executive committee decides ☐ Person-in-charge decides
Provide a description of co-op products and/or services to be offered:
Provide a description of co-op products and/or services to be offered:
What demographic characteristics do these potential customers have in common?
What competition exists in this market?
. Can you establish a market niche which will enable you to compete effectively with others providing this product or service?
What significant advantage is the co-op planning to offer?
5. Can you establish a market niche which will enable you to compete effectively with others providing this product or service?
What significant advantage is the co-op planning to offer?
Number of current members/ Goal # of members:
Define that value of membership to/individual members/ cooperative /community
Adding and removing members:What will the process to add new members be?
How will you remove people that don’t want to leave?
A member leaves, what is the time their investment is paid back? All at once or over time? (These may be decisions made by board.)
Assessing and selecting a business entity/ LLC, Corporation, Nonprofit Corporation
Submit
Submit
Submit