Dairy Processing Grant Applications (2021-22) Completed applications include a $100 application fee. After completing this form, you can submit the application fee online below or mail to: Center for Dairy Excellence | Attn: Melissa Anderson | 1140 Mountain View Road, Shermans Dale, PA 17090 *Note: Program support is made possible through Ag Excellence funding provided by the Commonwealth of Pennsylvania. All funding is subject to release of the current fiscal year funds. You will be notified of acceptance in the program upon receipt of this application and application fee. LIMITED FUNDS ARE AVAILABLE. This grant will only remain open until all funds have been committed. The application period for the 2021-2022 fiscal year will close on March 31, 2022, with all invoices for reimbursements received by the Center prior to May 15, 2022.Applicant's Name* Processor Name* Facility Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County* Email Address* Phone Number*Description of Operation:*Milk Marketing Region (Include PA Counties and States Outside PA):*Number of independent farms supplying plant* Number of cooperatives supplying plant* Total amount of milk processed monthly on average (lbs)* Percentage of milk volume from PA* Types of products manufactured at facility (ie: butter, cheese, UHT milk):* Business includes (check all that apply):* Branded products Private label products Co-packing for other companies Other Description of Project*How will this project benefit your business?*How will this project benefit the broader dairy industry?*List TWO references with phone number and email address who work with processor and can speak to value of the project.*What is the estimated cost of your project?* Signature/Consent* I agree to the following requirements.In exchange for the allocation of funding and support, you will be expected to do the following: -Provide invoices /expenses to the Center for reimbursement -Provide feedback on success of project and its impact on the processor's overall operation -Invoices for allocated funds are due to the Center by May 15, 2022 -A W9 must be provided to the Center before any expenses will be reimbursed. Any funding received through this grant will be considered taxable income by the IRS.Mailing A Check I would like to mail a check Dairy Processing Grant Application Fee*Total $0.00 Credit Card* Cardholder Name Card Details CAPTCHAEmailThis field is for validation purposes and should be left unchanged.