Prospective Agency Questionnaire
Help us evaluate if you would be a good fit for partnership. This is just a preliminary screening. We will follow up with you to let you know if you meet our standards for partnership.
Name of Organization
*
Organization Phone Number
*
Please enter a valid phone number.
Organization Email
*
example@example.com
Pantry Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Point of Contact
*
First Name
Last Name
Point of Contact Phone Number
*
Please enter a valid phone number.
Point of Contact Email
*
example@example.com
Is your organization a private foundation?
*
Yes
No
Are you a 501c3?
*
Yes
No
If you are NOT a 501c3, are you a church?
Yes
No
Do you currently operate a food pantry serving food to needy individuals/families?
*
Yes
No
If yes, please provide days and times you serve. (Ex: Mondays 4-6pm)
If yes, are you targeting certain neighborhoods, age groups, communities, etc.?
If no, what areas of the community do you plan on serving?
If no, what days and times do you plan to serve? (Ex. Weds 2-4pm, Fridays 5-7pm)
If no, will you target certain neighborhoods, age groups, communities, etc.?
Do you have a kitchen where you prepare meals to feed the needy community? (not your church congregation) If yes, please explain.
Do you have any of the following supplies?
*
Storage
Shelving
Refrigerator(s)
Freezer(s)
Cooler(s)
Freezer Blanket(s)
Do you have the ability to pick up your own food?
*
Yes
No
Do you have your own volunteers?
*
Yes
No
Submit
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