Food Navigator Directory Form FMFN/CSA Navigators Your Name * Your Name First Name First Name Last Name Last Name Your Email * Organization * Food Navigator Information Is the name and email provided above the food navigator information? * Yes No Food navigator name * Food navigator name First name First name Last name (Note: we will not publish your last name) Last name (Note: we will not publish your last name) Food navigator email * (Note: we will not publish your email) Organization name * Who are you? Returning food navigator New food navigator What do you need to update? Food navigator listing information on Eat Well in a SNAP is correct. Just update the year. I only need to update the date/time I'm at the site(s). I have multiple edits I need to make for my listing(s). For any fields left blank, content will default to your previous listing. Organization job title (E.g., nutrition educator, nutrition facilitator, etc.) Site name Days and times you will be at the site as the food navigator Example: 10:00 a.m. – 3:00 p.m., Fridays, May through September. No need to list every date of the month when you are at the market for the full month. plus1 Add minus1 Remove Favorites Vegetable Favorite Michigan grown vegetable Favorite Mitten Eats recipe that features this vegetable Link to Mitten Eats recipe Fruit Favorite Michigan grown fruit Favorite Mitten Eats recipe that features this fruit Link to Mitten Eats recipe Site Location Information Is this a farmers market or CSA? Farmers market CSA Farmers market name CSA name Farmers market address Farmers market address Physical address Physical address Additional information (e.g., corner of Main St and Elm, parking lot of city hall, etc.) Additional information (e.g., corner of Main St and Elm, parking lot of city hall, etc.) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal CSA pickup site name CSA pickup site address CSA pickup site address Physical address Physical address Additional information (e.g., corner of Main St and Elm, parking lot of city hall, by the big red barn, etc.) Additional information (e.g., corner of Main St and Elm, parking lot of city hall, by the big red barn, etc.) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Farmers market website URL Farmers market Facebook page URL Farmers market Instagram page URL CSA website URL CSA Facebook page URL CSA Instagram page URL Food assistance and incentive programs accepted at the market Double Up Food Bucks Michigan Farm to Family: CSA Senior Market Fresh SNAP WIC Produce Connection OtherOther (check all that apply) Food assistance and incentive programs accepted at the market Double Up Food Bucks Michigan Farm to Family: CSA Senior Market Fresh SNAP WIC Produce Connection OtherOther (check all that apply) Days and times you will be at the site as the food navigator Example: 10:00 a.m. – 3:00 p.m., Fridays, May through September. No need to list every date of the month when you are at the market for the full month. Days and times you will be at the CSA as the food navigator Example: 10:00 a.m. – 3:00 p.m., Fridays, June through September. No need to list every date of the month when you are at the CSA for the full month. Is the farmers market served by public transportation? Yes No I don't know Is the CSA served by public transportation? Yes No I don't know Transportation name Website Transportation name Website Transportation name Website Additional information Provide an image of yourself for your listing We recommend a photo in indirect lighting from the shoulders up. The image needs to be at least 1MB. The image needs to have enough space around your head and body to allow us to crop the image to square for the site design. Here are two examples of an excellent food navigator photo for reference. Food Navigator Selfie Drop a file here or click to upload Choose File Maximum file size: 67.11MB Do you serve any additional location(s)? plus1 Add minus1 Remove Submit Save Draft
