Diversity Bread ®

Good for your gut & good for the environment

Diversity Bread Licensing Application Form

This is a digital submission form for licensing Diversity Bread™, made in accordance with the Baking as Lifestyle Medicine (BALM) Protocol.

Before You Begin: Key Requirements

To qualify for your formula to carry the Diversity Bread™ license, the bread must meet the following criteria:

  • Flour Composition: The recipe must contain a minimum of 20% of The Diversity Botanical Blend Flours Milled by a registered Botanical Blend flour mill. Any additional flours must be organic or only if not available regeneratively farmed.
  • Fermentation: Must be a natural sourdough fermentation with a sufficient process to support gut health.
  • High Hydration: Boules and other high-hydration loaves are encouraged where applicable.
  • Serving (if in a food establishment): If served in a restaurant, café, or food business, bread must be paired with a fermented or probiotic-rich accompaniment (e.g., cultured butter, live yogurt, kimchi).

By submitting this form, you confirm that your bread aligns with these requirements.

Application Form

Diversity Bread Licensing Application Form

Section 1: Applicant Information

Maximum file size: 8.39MB

Section 2: Bread Submission

Does your bread contain at least 20% Botanical Blend Flour?

List all flours used and their percentages:

Organic/Regenerative
plus1 Add minus1 Remove
Organic/Regenerative
plus1 Add minus1 Remove

Maximum file size: 2MB

Section 3: Hydration & Bread Type

Bread type

Section 4: Serving & Pairing (For Food Establishments Only)

Will this bread be served in a restaurant, café, or food business?
If yes, select the accompanying fermented/probiotic-rich food

Section 5: Additional Information

Section 6: Declaration & Agreement

I confirm that this bread meets the Diversity Bread™ requirements, including: