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
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
Are you a 501c3?
Yes
No
If you are NOT a 501c3, are you a church?
Yes
No
Are you already serving? (This does not include volunteering with the Foodbank at Foodbank distributions. Does your organization serve already apart from that?)
*
Yes
No
If yes, where are you serving?
If yes, when and how often do you serve? Please provide days and times.
If yes, are you targeting certain neighborhoods, age groups, communities, etc.?
If no, where do you plan to serve?
If no, when and how often do you plan to serve? Please provide days and times.
If no, will you target certain neighborhoods, age groups, communities, etc.?
Would you be open to serving for at least 2 hours during peak times? (weekday evenings 4:30pm-8pm or Saturdays 10am-3pm)
*
Would you be open to serving in an area of higher need? (It might not be your own neighborhood but an area that does not have a lot of access to food.)
*
Yes
No
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
If you have a kitchen at your organization's location, would you be interested in hosting an afterschool feeding program or a summer feeding program for children?
Yes
No
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform