Partner Agency Sign-Up - Worcester County Food Bank

First Name, Last Name*

Program / Organization Name*

Your Email*

Are you located in and do you serve residents of Worcester County?*

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

Do you have a current Board of Health permit?*

Do you have a current food safety training certificate?*

Has your organization distributed food for 6 months or more?*

What geographic area do you serve in Worcester County?*

What are the days and hours of operation?*

How often may someone get food from your program?*

How is your organization funded?*

Are there any other details about your program you would like to share?*

Not ready yet, but looking for advice.

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