Company Information Company Name Required Company Street Address Required Company City Required Company State Required Company Zip Code Required Company Phone Number Required Type of plant (check all that apply) Federally inspected State inspected Custom Exempt Other or N/A What categories of animals are harvested at your facility? Check all that apply. Cattle Hogs Poultry Wild Game Sheep and Goats Approximately how many head are harvested per week at your plant (please list in beef equivalent)? Required What are some products and/or services offered by your plant? Check all that apply. Custom processing Inspected processing Retail Value-added processing (curing, etc.) N/A How many full-time equivalents does your plant employ? Required How did you hear about this program? Required 150 character limit Contact Information - Participant #1 (Primary) Person 1 First and Last Name Required Person 1 Job Title Required Person 1 Phone Number Required Person 1 Email Address Required Person 1 Sex Female Male Nonbinary Other/Prefer Not to Respond Person 1 Age 18-29 30-39 40-49 50-59 60-69 70-79 79+ Prefer not to Respond Person 1 Race American Indian or Alaska Native Asian Black or African American Native Hawaiian/Other Pacific Islander White Prefer not to respond Do you plan to have a second person from your company participate in the program? Yes No Person #2 Information Person #2 First and Last Name Person #2 Job Title Person #2 Phone Number Person #2 Email Address Person #2 Sex Female Male Nonbinary Other/Prefer Not to Respond Person 2 Age 18-29 30-39 40-49 50-59 60-69 70-79 79+ Prefer not to Respond Person 2 Race American Indian or Alaska Native Asian Black or African American Native Hawaiian/Other Pacific Islander White Prefer not to respond Tell us a little about your company Required 500 character limit What benefits do you hope to gain from participating in this program? Required 500 character limit Identify three strengths of your company Required 500 character limit Identify three areas in which your company struggles Required 500 character limit Application Acknowledgments • I understand that, if accepted into this program, payment of $6,750 per company is due by June 30, 2025, for participants from my company (up to two individuals). I understand that refunds will not be offered and that the full amount of $6,750 will be retained by the University of Nebraska-Lincoln, even if I drop out of the program or do not successfully complete the Program. Required • I understand that successful completion of this programs includes meeting the following conditions: 1). Complete the pre-program virtual HACCP training, Aug. 19, Aug. 20, Aug. 21, from 11 a.m.-4 p.m. CT. (even if I am already HACCP-certified); 2). Attend the pre- and post-program virtual meetings (Aug. 1 and Oct. 30, 2025), ; and 3). Participate in the entire in-person program, Sept. 7-13, 2025. Required • If accepted, I agree to pay the full amount of $6,750 by June 30, 2025. Required • I understand that the program will pay all related expenses for participants, including airfare, ground transportation, meals, and lodging. One double queen bed hotel room will be provided per plant. I understand that my plant is responsible for the cost of an additional hotel room if desired. Required • I understand that I am applying for and intending to participate in (if accepted) an intensive management training program and that I have the desire and time to commit to the program. Required Leave this field blank