Community Center Bundle Checklist Form
Use this form to track and verify the preparation and fulfillment of bundles at the community center.
Date of Preparation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Staff Member Name
*
First Name
Last Name
Bundle Name or Type
*
Preparation Location/Room
Select Items Included in the Bundle
*
Non-perishable food items
Hygiene products
Cleaning supplies
Clothing
Toys/Children's items
Other
Bundle Preparation Status
*
Please Select
Not started
In progress
Completed
On hold
Special Instructions or Notes
Was the bundle double-checked for accuracy?
*
Yes
No
List any missing or substituted items
Signature of Staff Member Completing Bundle
*
Submit Checklist
Submit Checklist
Should be Empty: