Partner Agency Sign-Up - Worcester County Food Bank

Your Name(Required)

Program / Organization Name(Required)

Your Email(Required)

Are you located in and do you serve residents of Worcester County?(Required)

Are you a 501c3 OR a church (as defined by the IRS)?(Required)

Do you have a current Board of Health permit?(Required)

Do you have a current food safety training certificate?(Required)

Has your organization distributed food for 6 months or more?(Required)

What geographic area do you serve in Worcester County?(Required)

What are the days and hours of operation?(Required)

How often may someone get food from your program?(Required)

How is your organization funded?(Required)

Are there any other details about your program you would like to share?(Required)

Not ready yet, but looking for advice.

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