Member agency application: Operation Food Search

Name*

First Last

Phone*

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?*

Question #2. Please check the services you provide or plan to provide (check all that apply):*

Question #3. Has the food pantry / soup kitchen been in operation at least six months?*

Question #4. How many people do you serve in an average month?*

Question #5. Please list additional sources of food:*

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Organization website

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Do you have safe, proper food storage?

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Do you have adequate transportation?

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What does your organization require from clients seeking food (check all that apply)?

AGENCY PARTNER APPLICATION