Intake

COMMUNITY PARTNER APPLICATION

Thank you for your interest in joining our Feeding Partner Network. Please complete the form below with information about your organization and its work in the community. We greatly appreciate your support of our vision of a hunger-free, healthy North Texas!

This is an application to join our Feeding Partner Network.

The purpose of this form is to help the NTFB team determine if your program fits within our strategic vision. Please answer the questions to the best of your ability. If you currently do not have, or are just starting your food assistance program, feel free to write "N/A" as an option for questions that do not pertain to your program at this time. Filling out this application does not guarantee acceptance as a Community Partner.

NTFB Onboarding Cycle

Please note: NTFB accepts applications year-round, however applications are reviewed quarterly. The quarterly review schedule is as follows: January, April, July, October.

If you are affiliated with a school (Elementary, Secondary, or College):

Please contact childprograms@ntfb.org with inquiries regarding their application process. This application is not for applicants of School Programs.

If you are affiliated with a senior citizens program:

Please contact csfpteam@ntfb.org with inquiries regarding their application process. This application is not for applicants of Senior Programs.

I understand that filling out this application does not guarantee my organization's acceptance as a part of NTFB's Feeding Partner Network.

Yes

General Information

Organization Name

Organization Address

Organization Address Line 1

Organization Address Line 2

Organization City

Organization State

Organization Zip Code

Organization Country

Does your organization own/lease the location listed above?

OwnLeaseNeither

Would your organization's food distribution/pantry be at the address listed above?

YesNo

Distribution Address

Distribution Street Address Line 1

Distribution Street Address Line 2

Distribution City

Distribution State

Distribution Zip Code

Distribution Country

Organization Primary Contact

First Name

Last Name

Contact Title

Contact Phone Number

Please enter a valid phone number.

Contact Email

Organization Secondary Contact

First Name

Last Name

Contact Title

Contact Phone Number

Please enter a valid phone number.

Contact Email

Program Information

Please select which of the following entities you or your organization has previously submitted an application to become a food pantry or distribution partner to?

If your organization has ever been a part of an event or distribution with NTFB, Catholic Charities Dallas, Crossroads Community Service, or Sharing Life, please provide dates and history of partnership. Also, state if partnership was under the organization name on this application or provide the previous name if it was another entity.

How long has your organization been providing food assistance?

Hours of Operation

Example:
Sunday : 9:00 AM - 12:00 PM
Monday: 9:00 AM - 11:00 AM / 2:00 PM - 5:00 PM
Tuesday: Closed

	Hours
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

On average how many neighbors do you serve during a distribution?

Other:

Do you deliver food to clients?

YesNoHomebound Only

In accordance with Federal law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, NTFB is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), age, disability, and reprisal or retaliation for prior civil rights activity. Would you be able to adhere to the USDA's civil rights regulations and policies?

YesNo

Do neighbors have to give donations to receive food?

YesNo

Do neighbors have to fill out an application for food?

YesNo

Does your organization use an income-based qualifier, such as the Federal Poverty Limit Guidelines, to determine who is eligible to receive food assistance?

YesNo

What are your eligibility guidelines?

Select all of the logistical capacities your organization currently has.

Dry / Shelf Stable StorageRefrigerator StorageFreezer StorageAbility to Pick-up Food from an NTFB Distribution Location (Transportation)Temperature Controlled Storage in a Non-Residential FacilityNone of the Above (Same-day Food Distributions)

If applicable, please further describe your storage space, including whether you have the ability lock your storage rooms.

COMMUNITY PARTNER APPLICATION

General Information

Organization Primary Contact

Organization Secondary Contact

Organization Information

Program Information

Additional Information