Partner Application Apply to be a partner. Section Menu Food Shelf Partners Become A Food Purchasing Partner Partner Application Statewide Food Shelf Grants Agency Partner Application Application updated in 2025. Agency Name(Required) Full Agency Name Agency Address(Required) Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Does your agency have multiple locations?(Required)NoYesSecond Agency Location(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have more locations to add?(Required)NoYesThird Agency Location(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County(Required)Agency Phone(Required)Agency FaxAgency Website(Required) Name of Applicant(Required) First Last Direct Phone(Required)Position(Required)Email(Required) Why are you interested in partnering with The Food Group? What are your organizational goals?(Required)What type of program does your organization operate? (examples: food shelf, meal program, other.)(Required)What geographic area(s) do you serve?(Required)Describe the population/community members you serve.(Required)How many individuals and households did you serve in the most recent calendar year?(Required)What are your hours of operation and weekdays/times you could receive deliveries? Please provide your first, second, and third delivery day preferences.(Required)Describe your intake process.(Required)Do you offer a client choice shopping model for those accessing food from you? If not, describe your food distribution method.(Required)How long have you been operating?(Required)What is your monthly food purchasing budget?(Required)What types of food does your food shelf generally distribute? Check all that apply. Non-perishable Fresh produce Frozen meats Dairy Culturally specific Kid friendly Select AllOther, please describe.What are your current food sources?(Required)What other services does your agency offer? Check all that apply. Thanksgiving Packages December Packages Birthday Packages Nutrition Classes Hygiene Packages Clothing Mass Food Distributions Bus Tokens/Transportation Assistance Back to School Packages Tax Assistance Short-Term Loans Housing Assistance Car Repair Vouchers On-Site Meal Program Translation Services Financial Education and/or Counseling Food Support Outreach Select AllOther, please describe.How many staff members does your food shelf employ?(Required)Do you utilize volunteers?(Required)NoYesIf so, how many?(Required)What languages do your staff or volunteers speak?(Required)Does your food shelf have any current violations from the City or County Health Department?(Required)NoYesIf yes, what action has been taken to resolve the problem?(Required)Does your food shelf have the documents listed below? Check the corresponding box and upload a copy.(Required) Established 501(c)(3) tax exempt status Current Department of Health Food Shelf License, if required by city/county Select AllFile(Required) Drop files here or Select files Max. file size: 1 GB.