Member agency application: Operation Food Search

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Please fill out the form completely and Operation Food Search will contact you.

Name*
First Last
Phone*
Email of Person Submitting this Form*
Email of Person Submitting this Form*
Organization Name*
Organization Site Address*
Street Address Address Line 2 City State ZIP Code
Question #1. Does your agency have a current Federal 501(c)3?*
- Yes
- No
Question #2. Please check the services you provide or plan to provide (check all that apply):*
- Food Pantry
- Meal Site
- Home Delivery
- Men's Shelter
- Women's Shelter
- Family Shelter
Question #3. Has the food pantry / soup kitchen been in operation at least six months?*
- Yes
- No
Question #4. How many people do you serve in an average month?*
Question #5. Please list additional sources of food:*
Organization website
Do you have safe, proper food storage?
- Yes
- No
Do you have adequate transportation?
- Yes
- No
What does your organization require from clients seeking food (check all that apply)?
- None
- Identification
- Proof of Residence
- Proof of Income
- Proof of Household Members
- Proof of Expenses
- Other

For every dollar donated by individuals, corporations, foundations, and organizations,
97 cents is devoted to programs and services.

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