Foodbank Victoria Charity Partner: Expression of Interest
Completing this information about your organisation's food relief activities helps us to understand the food insecurity issues in your area, assess your organisation's food program needs and collaborate with you to respond to your needs and needs of the community that you assist.
Section 1: Organisational Information
Organisation Name:
Organisation ABN:
Does your organisation have public liability insurance?
Yes
No
Is your organisation certified as a charity by the Australian Charities & Not-for-profits Commission?
Yes
No
Section 2: Contact Details
How many paid staff work in your food relief program?
How many volunteers work in your food relief program?
Please advise the details for the Manager / Coordinator of your food relief program:
Please note this will be the person who we contact if there are any problems regarding food ordering/pickup delivery
First Name:
Last Name:
Email
Mobile No:
Office Phone No:
Please provide the details for a secondary contact for your food relief program:
This may include your billing contact if separate.
First Name:
Last Name
Email:
Mobile No:
Office Phone No:
What address would you like Foodbank to
deliver food to?
(Please note we only deliver to partners located in Regional Victoria)
Street Number & Name (No PO Boxes):
Suburb
State
Please select...
New South Wales
Victoria
Queensland
Western Australia
South Australia
Tasmania
Australian Capital Territory
Northern Territory
Postcode
What address does your food relief program
operate at
?
Street Number & Name(No PO Boxes):
Suburb
State
Please select...
New South Wales
Victoria
Queensland
Western Australia
South Australia
Tasmania
Australian Capital Territory
Northern Territory
Postcode
What address would you like Foodbank to
send billing information
to?
Billing Email
Section 3: About your Food Relief Program
Please provide details about your food relief program and any other services you provide for your community.
Is your food relief program a new program?
Yes
No
If yes, please tell us about how you plan to operate your new food program?
if no, please tell us about your existing program
Limit 1000 characters
When does your food relief program operate each week?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please tick all days that you operate
In the average month, how many people do you provide with food?
Count each person only once even if they make multiple visits in a month
What type of food relief do you provide?
Pre-packed food hampers
Self-select food pantry
Cooked meals/ kitchen program
Voucher Program (provide clients with food vouchers they can redeem at supermarkets)
Other
Please tick all that apply
if you provide food vouchers, on average how much do you spend on these vouchers in total each month?
If Other, Please Specify
Which are the
most-common
client groups you provide with food relief?
Most-Common Client Groups
Please select...
Aged
Asylum seekers / refugees
Children & Youth
Ethnic / cultural groups
Homeless / special accommodation
Indigenous
Low income families / individuals
People with a disability
People with a mental illness
Single parent families
Substance abuse / dependence
Unemployed
Women
Second Most-Common Groups
Please select...
Aged
Asylum seekers / refugees
Children & Youth
Ethnic / cultural groups
Homeless / special accommodation
Indigenous
Low income families / individuals
People with a disability
People with a mental illness
Single parent families
Substance abuse / dependence
Unemployed
Women
What food storage do you have available on site:
Shelving to store dry foods
Small Fridge / Freezer (residential)
Cool Room / commercial fridge
Small warehouse (pallets)
Other
Please tick all that apply
if other please specify
What other services do you provide for people seeking food relief assistance?
Cooking/food literacy classes
Budget assistance/Financial counselling
Schools programs
Home delivery (of hampers or meals)
Case management
Referral to other welfare organisations
Material aid
Non-Food vouchers (i.e. fuel, mobile phones etc)
Please tick all that apply
Is your organisation a member of an emergency relief network?
Yes
No
If yes, Name of emergency relief network?
Do you supply any other organisations with food?
Yes
No
If yes, please list the names of any organisations you supply with food
Section 4: Terms & Conditions
Please ensure you have read
Foodbank Victoria's Terms & Conditions
before submitting this form
I understand and agree to Foodbank Victoria's Terms & Conditions.
Contact Information