fūdrr Produce Rewards Donation Site - Application Form fūdrr is the healthy lifestyle Web App that rewards users with fresh produce at local retailers.fūdrr users can donate their reward points to low-income schools and food pantries. Eligible New Mexico sites include: Any public and nonprofit private schools and residential child care institutions in New Mexico in which 50% or more students receive free or reduced lunches. Food pantries that serve low-income populations Other organizations that help feed hungry New Mexicans fūdrr produce rewards are currently redeemable at the Silver Street Market in Downtown Albuquerque and the Healthy Here Mobile Farmer's Market. If there is not a retail outlet that your organization can reasonably access, we will work with you to recruit a local retailer that will meet your needs. Question Title * 1. Your contact information Organization or Group Name Your Name Your Title Email Phone Question Title * 2. Who will be your organization's liaison to fudrr? (you can just type same as above if appropriate) Name email title phone Question Title * 3. Which of the following describes your organization? Check all that apply. Private Private non-profit Civic Organization Faith Based Healthcare provider County Government Local Government School - K-12 Food Pantry Social service Other (please specify) Question Title * 4. Where are the people you serve located? (for example, "We serve the entire state", "We serve the city of ____) Question Title * 5. Please select one or more options for redeeming fūdrr points. We will redeem our points at the Silver Street Market in Downtown Albuquerque We will redeem our points at The Healthy Here Mobile Farmer's Market (see link in introduction for location sites) We will work with fūdrr representatives to recruit a nearby produce retailer and/or identify a produce retailer or distributor that will deliver produce to the people we serve. None of the above Please include other ideas you have for redeeming fudrr points. Question Title * 6. Please let us know how your organization can help get the word out about fudrr. Let the people you serve know about fūdrr using promotional material developed developed by fudrr and approved by your organization. Schedule a training for your staff and/or the people you serve Please include other ideas you have as well as reasons you may have for not selecting either of these choices. Question Title * 7. How do you plan to distribute the produce you redeem to the people you serve? (Examples - during after school programs for students and/or families, weekend school food back-packs, during regular food pantry distribution days.) Question Title * 8. My organization will set up gmail fudrr email. (This is a requirement.) It only takes a minute. We will contact you once we have reviewed your application form and send you instructions. Yes No Question Title * 9. Please add any questions or ideas you have about becoming a fūdrr reward donation site. Thank you for completing this application. We will review your application within 5 business days. If you have any questions please contact Mary.Meyer@KidsCook.us. Done