Certified Honey Producer Application The Certified Honey Producer Program promotes the goodness of North Carolina honey with standards for correct labeling and marketing. The "Certified” and “Discover the Goodness” labels assures that the seller is certified by the North Carolina State Beekeepers Association and agrees to abide by the guidelines of the Certified Honey Producer Program and agrees to use the labels to market and sell North Carolina honey or creamed honey made with only North Carolina honey. Type*NewRenewal Please read before continuing New applicants should arrange their beekeeper reference endorsement BEFORE submitting out this application. Renewal applicants do not need a new reference endorsement. A Beekeeper Reference Endorsement for every new member of the Certified Honey Producer Program (CHPP) is a critical layer of integrity upon which the program depends. Choose your beekeeper reference wisely to prevent long delays and maybe even denial of your membership application. Applicants should personally contact their chosen reference prior to listing their name on this application form to: A) Confirm their eligibility to be a CHPP reference; B) Get their phone number, email address, and NCSBA membership number; and, C) Get their permission and willingness to endorse you. Beekeeper references must be current members in good standing of NCSBA, personally familiar with the applicant and their beekeeping practices, and willing to speak favorably for the applicant. In addition, eligible CHPP references must also meet one or more of the following requirements: Be a current member in good standing of the CHPP. Be a NCSBA Master or Master Craftsman Beekeeper. Be a current member of the NCSBA Executive Board. Past or present NCSBA Chapter club officer (President, Vice President, Secretary, or Treasurer). References who fail to respond to the automatic email reference request, respond unfavorably, or are not eligible to be CHPP references in the first place, may be ignored by the CHPP administrators; therefore it is the sole responsibility of the applicant to choose their reference carefully. Applicants may choose to submit a new reference if their first choice proves to be unsuitable; to do so, have your new reference submit the Certified Honey Reference form.NCSBA Membership #*In order to participate in the program you must be a NCSBA member in good standing. Your membership number can be found on your membership card. You may also request your member number using your email address.Name* First Last Address* Street Address Address Line 2 City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Phone*Email* Enter Email Confirm Email Apiary InfoName on Honey Label*Example: John Smith, Sweet Jane's Honey, ACME Honey Company, etc.Number of Hives*This can be approximate if the exact number is not known.Location of Hives:*List the county where your hives are located. If there are multiple counties, separate them with a comma.Reference EndorsementEnter the name, contact number and email address of the person whom can be used as a reference for you. That person can be: A Certified Honey Producer (currently enrolled in the program and in good standing) An NCBSA Master Beekeeper (they need to be a current member of the NCSBA and in good standing) Officer or member of the Executive Board of the NCSBA Please seek their approval to be your reference prior to submitting your application.Reference Name* First Last Reference Email* Reference Phone*Display Contact Information in Registry Yes, include my contact information in the “Certified Honey Producer Registry” on the official NCSBA Website. Include your contact information if you would like for people to be able to contact you about your honey and how they can purchase it.Display Contact Information in Registry*Registry only: Display only my name (minimum required)Registry only: Display my name and contact informationLocator map: Display my name, contact information and enough information to locate me on the map but do not list my addressLocator Map: Display my name, contact information, website and physical address of a store on the registryInclude your contact information if you would like for people to be able to contact you about your honey and how they can purchase it.Contact Information on Honey LabelProvide contact information for your honey. It should match what is on your honey label. You do not need to include all forms of contact but you should provide at least one way for someone to contact you.Phone NumberEmail Website Purchase Options(Optional) Provide the address of the store/location where customer can purchase your honey. This address will be used on the RealNCHoney locator map.Store/Location NameExample: Whole Foods, NC Farmers Market, Aunt Bee's General Store, etc.Purchase Location Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Available Online Yes, my honey is available for purchase online Your honey can be purchased via the website listed aboveDetailsDescription(Optional) Provide a description about your apiary, your honey, any awards you have received, etc.Premium Honey Comb/Chunk Honey Sourwood If you produce premium honey, let customers know.Pollen Analysis ReportAccepted file types: jpg, jpeg, png, pdf.In order to be listed as a Sourwood producer you must submit a copy of a pollen analysis report performed within the past 12 months showing that your honey contains 51% or more Sourwood pollen. You can upload a copy here now or submit it later via email.Questions/CommentsCHP FeeAmount Due $0.00 This fee provides certification for a period of two years, at which time certification may be renewed.Terms and Conditions* I agree to abide by the guidelines of the Certified Honey Producer Program. By checking the box above you agree to abide by the guidelines of the Certified Honey Producer Program and agree to use the “Certified” and “Discover the Goodness” labels to market and sell only North Carolina honey or creamed honey made with North Carolina honey.In addition to the above, I agree and give my approval to be listed on the Certified Honey Producer Registry on the official NCSBA Website. Credit Card*Card Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.