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CFBCA Logo

Community Food Bank of Central Alabama
Potential Partner Agency Application

We are so glad that you are interested in becoming an Agency with the Community Food Bank of Central Alabama (CFBCA)! To get started, please complete this application and submit the required materials.

Please look over the Agency Membership Guidelines and keep them for your records.

Please note: You have the ability to save progress and complete at your convenience. 



*Organizations should submit their own 501(c)(3). Churches may submit a letter from their denominational headquarters, that has a 501(c)(3), stating that they are in good standing with that denomination. Churches that do not have an official 501(c)(3) may qualify for membership if they meet certain established criteria; however, the ultimate determination will be made by Food Bank staff.
The Employer Identification Number (EIN), also known as the Federal Employer Identification Number or the Federal Tax Identification Number, 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.
Physical Address






Mailing Address





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


Marketing Information

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

Facility Specs



(ie. pickup truck, trailer, box truck, refrigerated box truck, etc.)
Pest Control & Liability Insurance
Pest Control & Liability Insurance are both required for the safety of everyone involved. If you do not currently have these services, we expect you to have them in place by the time you are an active Agency.


Pest control services must be at least quarterly.


Liability Insurance is required.

Page 2

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 4 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
Residential/On-Site 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)







Soup Kitchens:




(check all that apply)








Page 3

Agency Agreements

Your agency will be given a site visit date shortly after completing all required training and documentation. These visits give you the chance to ask questions, refresh knowledge, and monitor the agency's compliance to food safety standards. 
 
Agency Governing Body Agreement















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


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

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.


(ie. only Food Drive donations, store reclamation, etc.)
CFBCA Agency Agreements
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