Application Form - Fair Trade USA
Please fill out this form completely and e-mail to: and
A. GENERAL INFORMATION1. Date:
2. Entity Legal Name (to appear on the Fair Trade USA Certificate):
3. Company legal status: / 4. Website:
5. Product(s) Handled or Produced:
6. a) Street Address (administrative office where relevant documents are kept):
b) City and State/Territory: / c) Postal Code: / d) Country:
7. a) Primary Contact (for billing purposes): / b) Role/Title: / c) Phone Number:
d) Email Address:
8. a) Certification Manager/Fair Trade Contact: / b) Role/Title: / c) Phone Number:
d) Email Address:
9. Brief Description of your Company/Organization:
10. Affiliations with other legal entities (parent co, subsidiaries)
Entity Name: Relationship:
B. SOCIAL AND ENVIRONMENTAL PROGRAMS
11. Has the operation been certified by FLO-CERT (Fairtrade Labeling Organization International)? Yes No
12. If yes, please provide the FLO ID number:
13. What other certifications do you have, if any? Rainforest Alliance Fair for Life UTZ Organic
Food Safety (Please specify, e.g. Global G.A.P.)
Other(s) (Please list)
14. Please provide details of the last two audits conducted at your operation(s) below (if applicable):
Date of Audit: Audit Conducted By: Corresponding Certification Number:
Date of Audit: Audit Conducted By: Corresponding Certification Number:
PLEASE ATTACH COPIES OF THESE AUDIT REPORTS
15. Have you been denied certification or been decertified in the past 24 months? Yes No
IF YOU ANSWERED ‘YES’, PLEASE ATTACH A COPY OF THE AUDIT REPORT(S) THAT LED TO THIS DECISION.
C. FAIR TRADE MARKET
16. Please indicate whether you are: Exporting on your own Selling to an exporter/importer
If you are not exporting on your own, please provide the contact details of the exporter/importer:
17. Please list the countries where you intend to sell Fair Trade products:
18. Do you plan to sell the product consumer ready packaged?
Yes No Not sure / 19. Do you plan to sell the product under your own brand?
Yes No Not sure
20. Have you identified any buyers for Fair Trade Certified products? If so, please list prospective buyers:
D. ORGANIZATIONAL STRUCTURE
21. Please indicate whether the operation is a single site, multi-site, group, or multi-group. Then identify each site or group in the field provided below.
Single Site Multi-Site Group Multi-Group
List of sites or groups:
22. Applying for certification to:
Farm Workers Standard: This Standard is for agricultural entities that are structurally dependent on hired labor. It can be applied at the level of a single farm, to a "multi-site organization", or to a "multi-estate organization". "Multi-site Organization" is defined as: a group of farms or facilities with a single owner, or owned by a single company. “Multi-estate Organization" is defined as: a group of independent farms and/or multi-site companies selling through a Market Access Partner (MAP). “MAP" is defined as: The legal entity representing a grouping of farms or smallholders.
Independent Smallholders Standard: This Standard is for smallholders that are not formally organized in a cooperative structure, selling through a Market Access Partner (MAP). The MAP is responsible for providing the Internal Control System necessary to implement the Fair Trade program with the associated smallholders.
Small Producer Organization Standard: This Standard is for smallholder groups organized according to a cooperative structure. Under this standard, the cooperative provides the Internal Control System necessary to implement the Fair Trade program with member producers.
Trade Standard: This Standard covers the supply chain partners that buy and sell Fair Trade Certified products sourced from producers certified by Fair Trade USA-approved certifiers.
Capture Fisheries Standard: This Standard is for small-scale fishermen selling through a Market Access Partner (MAP). The MAP is responsible for providing the Internal Control System necessary to implement the Fair Trade program with associated small-scale fishermen.
FOR APPLICATIONS TO THE INDEPENDENT SMALLHOLDERS STANDARD, SMALL PRODUCER ORGANIZATION STANDARD or CAPTURE FISHERIES STANDARD:
Along with this application, please submit a detailed list of all producers/fishers in the form of an Excel document. This list must indicate: total number of producers/fishers, their names, locations, annual volumes per crop/species, and productive areas (producers only). Please indicate how many non-familial workers are employed by each producer/fisher, if this information is available. Please contact SCS if you require an excel template to compile your producer/fisher list.
23. Activities performed:
Production: Growing/catching a product in the original producing country.
Processing: Transforming a product in the original producing country.
Packing: Packaging a product in the original producing country.
Exporter: Selling from the original producing country.
Labeling: Applying the Fair Trade USA label in the original producing country.
Other: Please describe any other functions of your operation:
24: PRODUCTION INFORMATION
Product /
Variety (if applicable)
/ Productive Area – Ha (if applicable) / Processing (specify activities)25: HARVEST INFORMATION (IF APPLICABLE)
Product / Single or multiple harvest? (if multiple, use separate row for each) / Start time (month) / End time (month) / Peak (month)
26: PRODUCER SITES
Name of farm or smallholder group / Address / Distance from admin. office (km) / Contact person / Product(s) / Productive Area (Ha) / No. smallholders (if applicable) / No. permanent workers / No. temporary workers
27: PROCESSOR/HANDLER SITES (IF APPLICABLE)
Site name / Address / Distance from admin. office (km) / Activities / Product type (input) / Product type (output) / No. permanent workers / No. temporary workers
28: SUBCONTRACTORS (IF APPLICABLE)
Name of subcontractor / Address / Distance from admin. office (km) / Activities performed / Products involved
29. WORKER HOUSING (IF APPLICABLE)
Name of housing site / Address / Number of residents during peak period(s)
E. WORKFORCE OVERVIEW
IN THIS SECTION, PLEASE INCLUDE INFORMATION ABOUT WORKERS EMPLOYED CENTRALLY BY THE FARM, MARKET ACCESS PARTNER OR SMALL PRODUCER ORGANIZATION. DO NOT INCLUDE INFORMATION ABOUT WORKERS EMPLOYED BY INDIVIDUAL SMALLHOLDERS.
30. Total number of workers and management employed: Permanent/Full-time: Temporary/Seasonal (local): Temporary/Seasonal (migrant): Subcontracted:
31. If migrant workers are employed, where are they traveling from?
32. Are labor contractors or labor recruiters used? Yes No (please list each contractor/recruiter and specify services provided):
33. Method of pay for non-supervisory workers: Piece-rate Hourly Monthly Salary
34. Is piece-rate work pegged to minimum wage? Yes No
35. The minimum base pay for non-supervisory workers is: (specify currency) per: Hour Day Week Month
36. Full-time non-supervisory workers work an average of: hours per: Day Week Month
37. The pay-rate for overtime compensation is:
38. Is there worker representation in place? Yes No Workers’ association? Yes No
39. Is a collective bargaining agreement in place? Yes No
40. If applicable, please provide the name of the union or workers’ association:
F. AUDIT PLANNING INFORMATION
41. Desired date/timeframe for audit: / 42. Desired date/timeframe for certification (typically certification is achieved 2-4 months following the audit):
43. Has a Fair Trade Committee (FTC) been elected? Yes No If not, when will the FTC elections take place?
44. During which period(s) of the year are most workers present?
45. Nearest major airport (and distance to your sites from this airport):
46. Logistical information or additional comments for audit planning (please indicate whether you will provide support with audit logistics (e.g. provision of transport, accommodation):
G. DECLARATION
I have completed this application to the best of my ability and the information stated is accurate and complete. I agree to comply with the requirements for certification and to supply any information needed for evaluation of products to be certified.
Printed Name:
Position in the applying company/organization:
Date: Signature (electronic or typed accepted):
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