2017Bricmont Fund

Hardship Assistance Grant Application

Eligibility Criteria

The CCOF Foundation Bricmont Fund hardship assistance grants are available for applicants who meet the following criteria:

  • Certified organic operations currently in good standing(valid organic certificaterequired for consideration)
  • Severe economic loss experienced in the 2017 calendar year
  • Submission of documentation or supporting evidence of economic loss resulting from the hardship(required for consideration)
  • Proof of organic certification paid in 2017 (by any accredited certifier)
  • Operations that have not received federal assistance for the same loss
  • Submission of a progress report/survey sixmonths after you receive the grant

This application must be received by the CCOF Foundation no later than December 1, 2017. Applications received after this date will not be considered.

Award amounts range from $1,000-$2,500. This application must be filled out completely to be eligible for consideration.

Name:
Business Name:
Mailing Address:
City, State, Zip:
Phone Number: / Name of Certifier:
Email:
  1. On the next page, please describe your hardship and how you calculated the dollar amount you are requesting. Attach a Profit and Loss Statement and other appropriate documentation or supporting evidence of financialhardship (examples include photos, bills, or harvest logs from 2016 vs. 2017).

Supporting evidence and/or documentation is required for consideration.

______
  1. Event(s) that impacted your operation:
Drought
Fire
Quarantine
Pest Outbreak
Flood
Freeze
Other Hardship (please define): / ______
Amount requested: $ ______
  1. Amount requested: $ ______
  2. What resources do you have and what steps are you taking to recover from this hardship, and how do you plan to build resilience over time?
  3. Do you or your domestic partner/spouse have off-farm employment?
Yes, please describe: ______
No

Important Information

  • The deadline for submission of this application isDecember 1, 2017. Applications will notbe considered after this date
  • This program is limited to hardships incurred during the 2017 calendar year
  • Assistance is limited and will be awarded based on need and available funds
  • Fax this form to CCOF at (831) 423-4528, or submit it by email to . You may also mail the form to CCOF Foundation, 2155 Delaware Avenue, Suite 150, Santa Cruz, CA 95060

For more information, contact the CCOF Foundation at (831) 346-6322.