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Community Food Bank of Central Alabama
Potential Partner Agency Application

Thank you for your interest in becoming a partner agency of the Community Food Bank of Central Alabama! To get started, please complete this application and submit the required materials. Only complete, submitted applications can be processed. 

We have included a checklist of documents that you will need to complete the application. You will upload these to the application in the appropriate sections. Feel free to work on other sections while gathering these documents. You can save your work and return to the application at your convenience.




You will need these documents to complete the application. You can upload and attach them to your application.


*Religious organizations that do not have an EIN and do not belong to a denomination may still qualify for membership if they meet certain established criteria, but the ultimate determination will be made by Community Food Bank staff.
Your Organization Information



Your organization must be a 501(c)(3) in good standing with a valid EIN. The Employer Identification Number (EIN) is a unique NINE-DIGIT number assigned by the Internal Revenue Service to business entities operating in the United States for the purposes of identification.

Please upload your tax exemption letter from the IRS.

If your church (nonprofit religious entity) or denomination has an EIN, please submit it. The Employer Identification Number (EIN) is a unique NINE-DIGIT number assigned by the Internal Revenue Service to business entities operating in the United States for the purposes of identification.

If your church belongs to a denomination, please upload a letter confirming your church's membership in good standing with your denomination.
Physical Address and Phone Number













Primary Contact Information


If the Primary Contact is NOT the Agency Director, please add them as the Secondary Contact


Secondary Contact Information


If the Primary Contact is NOT the Agency Director, please add them as the Secondary Contact


Website and Social Media

Please copy & paste your website link in box to avoid typos!

Agency Partnership Details

CFBCA: Community Food Bank of Central Alabama.
In order to become an Agency Partner, you must have evidence of your organization's current food program in effect for at least 6 months prior to this application.  

(this could include flyers, screenshots, social media posts, etc.)

Check all that apply.

Additional information needed will appear for each Partnership type.
Be sure to fully complete each section as they appear below.
Emergency Food Pantries

Minimum of 25 for membership. If you are not actively serving, input "0'.

(check all that apply)

(select all days that apply, then type the hours of operation for selected days)

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

i.e. counties, neighborhoods, towns, etc.

i.e. ID, bills, proof of residence, etc.






Warning: According to federal regulations, organizations are not permitted to obligate those receiving government food to attend religious services, events, or gatherings in exchange for food. 


i.e. 10% store donations, 90% purchased
Soup Kitchens




(check all that apply)








Residential Programs

Minimum of 25 for membership. If you are not actively serving, input "0'.


(check all that apply)

(select all days that apply, then type the hours of operation for selected days)

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.






(Estimate if you don't know)







Other

Minimum of 25 for membership. If you are not actively serving, input "0'.

(check all that apply)

(select all days that apply, then type the hours of operation for selected days)

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

Type hours of operation in this box.

i.e. counties, neighborhoods, towns, etc.

i.e. ID, bills, proof of residence, etc.



Warning: According to federal regulations, organizations are not permitted to obligate those receiving government food to attend religious services, events, or gatherings in exchange for food. 


i.e. 10% store donations, 90% purchased


i.e. utility help, rent assistance, job training
Pest Control


Pest control services are required for membership. Service must take place at least quarterly.

Liability Insurance

Liability Insurance is required for membership.

Facility and Transportation



(ie. pickup truck, trailer, box truck, refrigerated box truck, etc.)
Proof of Funding

(i.e. pledges, donations, receipts, budgets, bank statements, etc.)

Agency Articles of Incorporation or Charter


This question is useful, especially if you are a church organization under the 501(c)(3) status of your denomination.
Agency Governing Body Contact Information

Agency Governing Body Agreement


USDA Food Access
The CFBCA receives food from numerous sources, primarily the United States Department of Agriculture (USDA), Feeding America, national retail donors, manufacturers, food drives, and more. Submitting a USDA Agreement benefits your agency by allowing you to have access to a much wider range of food items.

If yes, please download & complete the USDA Contract linked below.

Site Monitoring Visits

Your agency will be given a site visit date once your application has been received and approved. These visits give you the chance to ask questions, refresh knowledge, and monitor the agency's compliance to food safety standards. 
CFBCA Agency Agreement
This is the final step to complete your Agency Application!

Please review and fill out the REQUIRED Agency Agreement to complete your application. 
You may fill it out electronically, or print and scan the agreement in.

By pressing "Submit," I hereby affirm that all of the information I have provided is accurate and true to the best of my knowledge.


www.feedingAL.org

107 Walter Davis Drive, Birmingham, AL 35209
Need Assistance Mon–Fri? Don't hesitate to call us at (205) 942-8911