Agency Inquiry Form

General Information

Name of Organization

Which county is your organization located in?

Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Name

Your Phone Number

Your Email Address

Additional Information

Is your organization a registered 501(c)(3)?

Yes
No

If your organization is a registered 501(c)(3), please provide the EIN (Employee Identification Number). Your EIN can be looked up at: https://apps.irs.gov/app/eos/

Is your organization a religious institution (ex. church, temple, mosque, ministry)?

Yes
No

How long has your food program been in operation?

How many guests does your food program serve each month?

Please detail how often your food program will be open. For example: Mondays and Wednesdays from 10AM-12PM. Please note that we require our partners to distribute at least once a month, but encourage weekly distribution times.

Please describe your organization's food distribution model. Does the distribution consist of client choice (i.e. guests can choose which items are best suited for their individual needs), pre-packed bags, drive-thru, or another style?

Does your organization plan to cook and serve meals using food from Feed More?

Yes
No

Is your food preparation site currently inspected by VDH (Virginia Department of Health)?

Yes
No

How many volunteers do you have?

How many refrigerators does your organization have dedicated to your food program?

How many freezers does your organization have dedicated to your food program?

Does your organization have storage space with shelving dedicated to store dry goods?

Yes
No

Feed More cannot be your only source of food, and there will be fees associated with some of the food obtained from Feed More. Are you prepared to submit a budget for supporting your food program?

Yes
No

What are other food sources available for your food program? For example, purchasing food from grocery stores, food drives, farmers, etc.

What funding sources are dedicated to maintaining the food program? For example, community grants, donations, additional revenue streams.

It is a requirement that our agencies utilize Link2Feed to record client visits on a monthly basis. Please confirm you have the following technology to support integrating Link2Feed into your food program.

Reliable internet/ wifi service onsite
Computer/tablet dedicated for food program usage
Email address associated with food program that is checked daily

Do you have at least one volunteer who is able to use technology for food program activities?

Yes
No

In addition to food assistance, does your organization offer other services like career training, financial assistance, utility support, health services? If so, please describe.

Does your organization have a focus on serving any of the following populations?

Next Steps: Please complete this form by the end of the Application Period detailed above. If invited to continue the application process, you will be notified during the Review and Evaluation Period. Please acknowledge that you understand that we will onboard applicants based on location and readiness to serve in areas we have determined to be of greatest need.

I acknowledge

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Agency Inquiry Form

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Agency Inquiry Form

General Information

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