Hunger Relief Partner Application : Food Bank of Delaware

Organization Name*

Type of Organization (501(c)3, business, school, etc.)*

Program Name

Website

Mailing Address

Street Address Address Line 2 City State ZIP Code

Physical Location

Street Address Address Line 2 City State ZIP Code

Primary Contact Person

First Last Title

Do you have more than one physical location for distribution?

Yes
No

If yes, please list the additional locations

Primary Phone

Primary Fax

Primary Contact's Email Address

Secondary Contact

First Last Title

Secondary Phone

Secondary Fax

Secondary Contact's Email Address

Organization's Director/Pastor

First Last Title

TYPE OF PROGRAM DESCRIPTION

Is the program existing?

Yes
No

If yes, how long?

Please identify the program(s) your organization provides (or wishes to provide) to the community, listed below:

Congregate Meal Program (Group Meal) – We prepare and serve meals to walk-in guests, or serve meals to clients off-site. We do not provide shelter to clients through this program. Examples: soup kitchen, child & senior daycare
Emergency Food Pantry – We provide direct food assistance to the community. We store food on-site and have set weekly hours when this food assistance is available to the public. We have set criteria for individuals to receive food assistance. This type of program is added to the Delaware Helpline Food Pantry referral list. Examples: food pantry, food closet
Mobile Pantry Distribution Program – We provide food services in mass distribution. We do not provide ongoing case management for those who receive food from us. There are limited or no criteria for participation. Examples: mass distribution/ mobile pantry/ fields of hope
Residential Program – We prepare and serve meals to clients to whom we also provide shelter. Examples: Temporary or domestic violence shelter, rehab home, group home
Commodity Supplemental Food Program (CSFP) –We participate in this USDA-provided monthly food box program, sponsored by the Food Bank to elderly, low income DE Residents age 60+.
The Emergency Food Assistance Program (TEFAP) – We receive USDA-provided commodities through this program for low-income households at 185% or less of the federal poverty level.

Hours and Days of Operation

Please use the space below to briefly describe the program(s) and service(s) your organization currently provide to the community. Please include the approximate number of clients.