Membership

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Fill out the application below to get started on the road to using the kitchens at the Center for Culinary Enterprises. Before applying, please read the Member Handbook.

Note: In order to become a member there are certain items you need to obtain, including a ServSafe certificate, Philadelphia Food Safety Certification, and liability insurance. If you need help obtaining any of these items, please contact us.

1. Contact and Demographic Information

2. Email(valid email required)
3. How did you hear about us?
4. Prefix
5. Contact Name(required)
6. Home Street Address
7. Home City State and Zip(required)
8. Mobile Phone Number
9. Date of Birth(required)
10. Gender
11. Male Female
12. Race/Ethnicity
13. African American/Black Asian Hispanic, non-white White/Caucasian
    Other
14. Household Income Level -- Less Than $10,000 Between $10,000 - $20,000 $20,000 - $30,000 $30,000 - $50,000 Greater Than $50,000 (required)
15. Household Size -- 1 2 3 4 5 or more
16. Business Name(required)
17. Business Street Address (if different from home)
18. Business City State and Zip
19. Business Phone Number(required)
20. Date Established(required)
21. Current Number of Full-Time Employees
22. Current Number of Part-time Employees
23. How Can We Help You?
24. Business Plan Development Legal and Licensing Issues Marketing and Advertising Financing or Loans
    Production Capacity or Efficiency Accounting

25. Kitchen Needs

26. What Type of Business Do You Own? Catering Baking Specialty Food Production Personal Chef Food Truck Other (required)
27. If Other, Please Explain:
28. Are you distributing or manufacturing a product for wholesale that you would tend to sell to a retail establishment?
29. Yes No
30. Describe your business, product, and how you plan to utilize the Center for Culinary Enterprises
31. Utilizing the CCE requires a ServSafe Certification, a Philadelphia Food Safety Certification, and liability insurance. If you do not have these items now, you can still sign up and work with us to acquire the necessary licensing or obtain it in the future.
32. Are You ServSafe Certified?
33. Yes No
34. Do you have a Philadelphia Food Safety Certification?
35. Yes No
36. Do you have a food product and general liability insurance?
37. Yes No
38. Insurance Provider and #
39. Will you be bringing paid staff/employees to work in the CCE?
40. Yes No
41. If yes, do you have Workers Compensation Insurance?
42. Yes No
43. How many food storage units will you require? All storage units are lockable cages on casters - Metro SEC53LK3, 2 shelf, 27.5" x 40.8" x 68.5"
44. Cold Storage Units:
45. Freezer Storage Units:
46. Dry Storage Units:
47. How do you plan to transport your product?

48. Do you plan to use any of the following processes?

49. Smoking of food as a method of preservation
50. Yes No
51. Curing of food such as ham, sausages, etc.
52. Yes No
53. Undercooking of food (raw eggs, fish or shell fish, soft cooked eggs, tartar, undercooked meat other than whole muscle intact beef) and not wanting to use a consumer advisory
54. Yes No
55. Sprouting of seeds or beans
56. Yes No
57. Reduced oxygen packaging (including cook-chill bagging), where clostridium botulinum is a concern and only one barrier, i.e., refrigeration exists
58. Yes No
59. Using more than one container of shellfish at a time (co-mingling)
60. Yes No
61. Processing (bottling or canning) of low acid food
62. Yes No
63. Selling of Sushi
64. Yes No
65. Membership Agreement : By clicking this check box I acknowledge that I have read and agree to the Center for Culinary Enterprises Membership Agreement
66. Membership Agreement
67. Waiver of Liability : By clicking this check box I acknowledge that I have read and agree to Waiver of Liability and Indemnification Form
68. Waiver of Liability
69. By submitting this application,
    
    • • I certify that everything stated in this application is true to the best of my knowledge.
    • • I understand that The Enterprise Center is authorized to retain this information whether or not my application is approved
    • • I agree to be bound by this application and the terms of the Membership Handbook