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Receiving Agency Interest Form

Receiving Agency Registration

Fill out the application below to start the process of becoming a Food Forward Receiving Agency. Please note: We currently have a waitlist for all of our food recovery programs and we appreciate your patience. If you have any questions about the application please email [email protected].

"*" indicates required fields

1Organization Contacts

2Organization Details

3Transport Vehicles

4Distribution Sites

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[ Unique ID ]

/* This is a unique ID that is automatically generated and shared with the child Distribution Site records. There is code in the functions.php file that generates this. It is used in Salesforce for relate the records to one another. */

Organization Name*

Organization Legal Name*

The Legal Name on the IRS Letter of Determination.

Website URL

Employer Identification Number (EIN)*

An EIN (Employer Identification Number) is a unique nine-digit number assigned by the IRS to businesses for tax purposes. It can be found on tax documents, business licenses, or by contacting the the IRS.

IRS 501(c)(3) determination letter*

All Food Forward partners must upload a copy of their organization’s IRS 501(c)(3) determination letter.

Accepted file types: pdf, jpg, png, Max. file size: 10 MB.

Organization Mailing Address*

Street Address City State ZIP Code

Administrative Contact

Name*

First Last

Title*

Personal Pronouns

(Optional). Please provide your pronouns so that we can be sure to address you in a way that aligns with your personal identity.

Work Phone*

Mobile Phone

Email*

Type*

Preferred Language*

Preferred Contact Method*

By selecting a preferred method you are opting in to receive messages from Food Forward regarding our partner food program. If SMS is selected you agree to receive text messages from Food Forward. Message + data rates may apply. Please review our privacy policy for more details.

Secondary Contact

Same as Admin

Same as Administrative Contact

Name*

First Last

Title*

Personal Pronouns

(Optional). Please provide your pronouns so that we can be sure to address you in a way that aligns with your personal identity.

Work Phone*

Mobile Phone

Email*

Type*

Preferred Language*

Preferred Contact Method*

Which is the preferred method of contact?

Social Media

Instagram

Please enter the complete URL (e.g. https://www.instagram.com/foodforward/)

Please enter the complete URL (e.g. https://www.linkedin.com/food-forward)

Facebook

Please enter the complete URL (e.g. https://www.linkedin.com/company/foodforwardinc)

About Your Organization

Provide your organization’s mission.*

Briefly describe your organization's food programs and needs.*

Does your organization serve specific communities?

This section is voluntary and for Food Forward internal purposes only.

Disabled / Chronically Ill

Formerly Incarcerated

Foster Youth

Immigrant

LGBTQ+

Low-Income

Senior Citizens (65+)

Students (Pre K-12)

Students (College)

Unhoused

Veterans

Other

Which other communities?*

Separate items by comma.

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[ Communities Served ]

Does your organization currently operate a food program?*

Does your organization currently receive food from other entities?*

Which other entities?*

Separate items by comma.

Is your organization able to pick up food donations?*

Maximum travel distance?*

The total number of miles you can travel one-way to pick up food donations.

Does your organization collect data on recipients?*

Data collection is not a requirement to partner with Food Forward.

What type of data is collected?*

Section Break

What type of vehicle does your organization use for food transport?

Transport Vehicles*

Sedan

Minivan

Van

Pickup Truck

Stake Bed Truck

Box Truck

Semi-truck

Other

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[ Transport Vehicles ]

Additional Questions

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[ Pickup Truck ]

/* This section controls the conditional logic for the pickup truck questions */

What size is the bed of your pick up truck?*

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[ Stake Bed Truck ]

/* This section controls the conditional logic for the stake bed truck questions */

What size is the bed of your stake truck?*

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[ Box Truck ]

/* This section controls the conditional logic for the box truck questions */

What is the length of the box truck?*

Is it refrigerated?

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Section Break

/* This section controls the conditional logic for the semi-truck truck questions */

What size is the trailor of your semi-truck?*

Is it refrigerated?

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[ Other Truck ]

/* This section controls the conditional logic for the other truck questions */

Other (Please describe)*

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[ Semi Truck:107-to-108 ]

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[ Semi Truck:81-to-116 ]

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[ Semi Truck Size ]

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[ Box Truck:82-to-113 ]

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[ Box Truck:83-to-114 ]

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[ Box Truck Size ]

Food Distribution Sites

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[ Locations Count ]

/* Automatically counts the number of items in the Distribution Site list. Uses this number on the Entry ID for the Location to match in Salesforce. */

Distribution Sites

Click the ‘Add Distribution Site’ button to add one or more locations. At least one Distribution site must be provided — even if it is the same as the organization.

Distribution Site Name	No. of People Served	Distribution Site Address	Actions

There are no Food Distribution Sites.

Maximum number of food distribution sites reached.

Does your organization redistribute to secondary agencies?*

A Secondary Agency is another hunger relief organization to whom you share or redistribute your food.

How many?*

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[ 1 Agency ]

1. Secondary Agency Name*

Address*

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[ 2 Agency ]

2. Secondary Agency Name*

Address*

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[ 3 Agency ]

3. Secondary Agency Name*

Address*

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[ 4 Agency ]

4. Secondary Agency Name*

Address*

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[ 5 Agency ]

5. Secondary Agency Name*

Address*

Terms of Agreement

Terms of Agreement*

In order to become a Food Forward Receiving Agency, an organization must:

1. agree that it, or the organization of which it is a local chapter or affiliate, as applicable, shall maintain its status as a not-for-profit, tax-exempt organization under section 501(c)(3) of the Internal Revenue Code of 1986, as amended; and

2. offer all of the produce it receives from Food Forward to any person struggling with food insecurity, without any financial cost or any other mandatory requirements or exclusions.

3. agree to receive communications from Food Forward, including updates, reminders and other relevant information.

4. donations received from Food Forward are intended for charitable distribution only and may not be sold, exchanged, or used for any purpose that generates revenue for the receiving organization.

By submitting this application, you acknowledge that Food Forward is not responsible for any injury, and/or property damage that may arise from accessing the Food Forward warehouse or when receiving produce donations from any Food Forward food distribution site. At the Food Forward warehouse, produce is moved with heavy machinery, including, but not limited to forklifts, pallet jacks, and rider jacks that can pose risk of serious injury, and/or property damage. By receiving produce from Food Forward, you are acknowledging the risk and agreeing to abide by any onsite directions from members of the Food Forward team.

I agree to the above terms

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7412 Fulton Ave #3, North Hollywood, CA 91605
(818) 764-1022 | [email protected]
Tax ID #: 90-0678872

Photography Credits

Receiving Agency Registration

Administrative ContactPlease list the information for the person we will contact about this form.

Secondary ContactPlease list a Food Program contact or a secondary contact for the organization.

Social Media

About Your Organization

Section BreakIf your organization does not have a vehicle, select “other” and add a comment.

Additional QuestionsPlease provide additional information about the vehicle(s) you selected above.

[ Pickup Truck ]

[ Stake Bed Truck ]

[ Box Truck ]

Section Break

[ Other Truck ]

Food Distribution Sites

[ 1 Agency ]

[ 2 Agency ]

[ 3 Agency ]

[ 4 Agency ]

[ 5 Agency ]

Terms of Agreement

Administrative Contact

Secondary Contact

Section Break

Additional Questions