Agency Relations - Grocery Rescue Interested Partners

Does Your Agency Need More Food? Participation in the Grocery Rescue program may be the answer!

Thank you for your interest in the SMFBA's Grocery Rescue program. There are three ways in which partner agencies can participate:

- Direct Delivery - SMFBA drivers pick-up donations on their retail route and then deliver directly to the designated Grocery Retail partner agency on a daily/weekly basis. (Currently there is limited availability for this particular program but you can still show interest and be on our waiting list)! Please note: You must have the capacity to accept up to 10 pallets of food each delivery. Also, your agency must also be located within the Phoenix-metro area.

- Grocery Rescue Pick-up - The approved Grocery Rescue partner agency is assigned their own grocery rescue retail route and are responsible to pick-up donations on a daily basis. This could be one store/donor to multiple stops depending on the agency's capacity. On average, each Grocery Rescue Agency picks up donations from 3-6 donors.

- One Time Pick-up's - SMFBA will call the agency when we have a donor needing a one-time pick-up of donations. Approved agencies will be contacted on a rotating basis to assure fairness to all in this program.

Please note:

Agreeing to a pick-up and then failing to follow through in any of the above programs will result in the agency being removed from the grocery rescue program.

Completing this survey shows your agency's interest to participate in the Grocery Rescue programs but does not guarantee acceptance to the program(s) by SMFBA.

If you are ready to sign-up then complete the information below and we will be in contact soon!

Question Title

* 1. Agency Address

Agency Name *

Account # *

Physical Address *

Mailing Address (if different)

City/Town *

State/Province *

ZIP/Postal Code *

County *

Email Address *

Phone Number *

Question Title

* 2. Agency Contact Info

Contact Name:

Contact Title:

Contact Email:

Contact Cell:

Question Title

* 3. Our agency is currently in good standing with SMFBA.

Yes

Question Title

* 4. Our agency would like to participate in the following Grocery Rescue programs (click all that apply):

Direct Delivery

Grocery Rescue Pick-Up

One Time Pick-Ups

Question Title

* 5. Is your Agency willing to sign a Letter of Agreement to participate in the programs above?

Yes

Question Title

* 6. Is your Agency willing to complete any and all online reporting consistently and within 48 hours of pick up or receipt of food?

Yes

Question Title

* 7. Please tell us a little about your capacity to participate in our Grocery Rescue Pick-Up program and/or One Time Pick-Up

	Yes	No	N/A (check if not applying for this program(s)
Agency has a refrigerated truck	Agency has a refrigerated truck Yes	Agency has a refrigerated truck No	Agency has a refrigerated truck N/A (check if not applying for this program(s)
Agency does not have a refrigerated truck but does have large vehicles/trailers and is able to pick up donations	Agency does not have a refrigerated truck but does have large vehicles/trailers and is able to pick up donations Yes	Agency does not have a refrigerated truck but does have large vehicles/trailers and is able to pick up donations No	Agency does not have a refrigerated truck but does have large vehicles/trailers and is able to pick up donations N/A (check if not applying for this program(s)
Agency had dedicated staff/volunteers that are available for donation pick-up on a daily basis	Agency had dedicated staff/volunteers that are available for donation pick-up on a daily basis Yes	Agency had dedicated staff/volunteers that are available for donation pick-up on a daily basis No	Agency had dedicated staff/volunteers that are available for donation pick-up on a daily basis N/A (check if not applying for this program(s)
Agency can identify back up staff/volunteers should the need arise for donation pick-up	Agency can identify back up staff/volunteers should the need arise for donation pick-up Yes	Agency can identify back up staff/volunteers should the need arise for donation pick-up No	Agency can identify back up staff/volunteers should the need arise for donation pick-up N/A (check if not applying for this program(s)
Agency has appropriate storage to handle the donations received through this program	Agency has appropriate storage to handle the donations received through this program Yes	Agency has appropriate storage to handle the donations received through this program No	Agency has appropriate storage to handle the donations received through this program N/A (check if not applying for this program(s)
Agency has appropriate fridge/freezer space to handle the donations received through this program	Agency has appropriate fridge/freezer space to handle the donations received through this program Yes	Agency has appropriate fridge/freezer space to handle the donations received through this program No	Agency has appropriate fridge/freezer space to handle the donations received through this program N/A (check if not applying for this program(s)

Question Title

* 8. Tell us a little bit about your capacity to participate in the Direct Delivery program

	Yes	No	N/A (check if not applying for this program
Our Agency has the storage capacity to accept up to 5 pallets of donations	Our Agency has the storage capacity to accept up to 5 pallets of donations Yes	Our Agency has the storage capacity to accept up to 5 pallets of donations No	Our Agency has the storage capacity to accept up to 5 pallets of donations N/A (check if not applying for this program
Our Agency has the storage capacity to accept up to 10 pallets of donations	Our Agency has the storage capacity to accept up to 10 pallets of donations Yes	Our Agency has the storage capacity to accept up to 10 pallets of donations No	Our Agency has the storage capacity to accept up to 10 pallets of donations N/A (check if not applying for this program
Our Agency has a walk in freezer	Our Agency has a walk in freezer Yes	Our Agency has a walk in freezer No	Our Agency has a walk in freezer N/A (check if not applying for this program
Our Agency has a walk in fridge	Our Agency has a walk in fridge Yes	Our Agency has a walk in fridge No	Our Agency has a walk in fridge N/A (check if not applying for this program
Our Agency has multiple fridge/freezers on site	Our Agency has multiple fridge/freezers on site Yes	Our Agency has multiple fridge/freezers on site No	Our Agency has multiple fridge/freezers on site N/A (check if not applying for this program
Our Agency is accessible for the delivery truck to deliver without issues (paved drive, no curb or steps). If no, please explain below	Our Agency is accessible for the delivery truck to deliver without issues (paved drive, no curb or steps). If no, please explain below Yes	Our Agency is accessible for the delivery truck to deliver without issues (paved drive, no curb or steps). If no, please explain below No	Our Agency is accessible for the delivery truck to deliver without issues (paved drive, no curb or steps). If no, please explain below N/A (check if not applying for this program

If no, please explain:

Question Title

* 1. Agency Address

Question Title

* 2. Agency Contact Info

Question Title

* 3. Our agency is currently in good standing with SMFBA.

Question Title

* 4. Our agency would like to participate in the following Grocery Rescue programs (click all that apply):

Question Title

* 5. Is your Agency willing to sign a Letter of Agreement to participate in the programs above?

Question Title

* 6. Is your Agency willing to complete any and all online reporting consistently and within 48 hours of pick up or receipt of food?

Question Title

* 7. Please tell us a little about your capacity to participate in our Grocery Rescue Pick-Up program and/or One Time Pick-Up

Question Title

* 8. Tell us a little bit about your capacity to participate in the Direct Delivery program

Question Title

* 9. Thank you for your input and we will contact you soon. Feel free to leave any additional comments below.