Partner Eligibility Pre-Screening

Fill out this quick survey to see whether your agency may be eligible to join the Vermont Foodbank Network of partners.

Completion of this survey does NOT constitute an application or acceptance for partnership.

Question Title

* 1. Your Agency's Name

Question Title

* 2. Your Name

Question Title

* 3. Email Address

Question Title

* 4. Telephone Number

Question Title

* 5. How long has your agency been distributing food? Please Note that agencies must be operating food distribution for at least 3 months to be accepted as a Network Partner with the Vermont Foodbank.

Not open yet

0-3 months

3-6 months

6-11 months

1-3 years

3+ years

Question Title

* 6. What type of agency do you operate? (Select all that apply.)

Food Pantry/Shelf

Meal Site

Other (please specify)

Question Title

* 7. What county(ies) does your agency serve? (please select all that apply)

Addison

Bennington

Caledonia

Chittenden

Essex

Franklin

Grand Isle

Lamoille

Orange

Orleans

Rutland

Washington

Windham

Windsor

Question Title

* 8. What is your agency's physical address?

Street:

City/Town:

Zip code:

Question Title

* 9. Is your agency a registered tax-exempt 501(c)(3) operating in the state of Vermont?

Yes

No, but the agency is sponsored by a registered tax-exempt 501(c)(3) operating in the state of Vermont who will accept fiscal and administrative responsibility.

Question Title

* 10. What is the name of the registered tax-exempt 501(c)(3) operating in the state of Vermont who will assume fiscal and administrative responsibility.

Question Title

* 11. Please provide your Employer Identification Number (EIN) as issued on your tax exempt 501c3 Determination Letter. [If you are sponsored under another organization's tax exempt status, provide the EIN for that organization]

Question Title

* 12. Do the majority of people served by your agency fall under the description of needy, ill, or infants?

Yes

Question Title

* 13. Does your agency currently focus on serving any of the specific groups of people listed below? (Please select all that apply.)

College students

Individuals with a disability

Black, Indigenous, and People of Color

Non-English-speaking families

Veterans or military families

People experiencing homelessness

Individuals with diabetes, high blood pressure, and/or heart disease

Seniors

Families with young children

None of the above

Other (please specify)

Question Title

* 14. How many hours is your agency open for food distribution per month?

1-3 hours

3-6 hours

6-10 hours

10+ hours

Question Title

* 15. Please provide the days and times of food distributions offered by your agency.

Question Title

* 16. Are you aware of other food assistance agencies in your area?

Yes

Question Title

* 17. Do you collaborate with other food assistance agencies in your area on hours of operation to avoid duplication of efforts?

Yes

Question Title

* 18. What are the criteria for guests to receive food from your agency?

Question Title

* 19. How often can neighbors access food from your agency?

1x per month

2x per month

1x per week

Daily

Other (please specify)

Question Title

* 20. How does your agency offer food? (Please select all that apply.)

Prepared meals served on site

Prepared meals to go

Pre-bagged groceries

Guests choose from food on shelves

Other (please specify)

Question Title

* 21. What types of food do you offer? (Please select all that apply.)

Fresh produce

Other perishable foods (meat, dairy, etc.)

Bread/snacks

Cans/boxed goods/nonperishables

Other (please specify)

Question Title

* 22. Do you have on-site refrigeration or other equipment to ensure temperature control of perishable foods?

Yes

At least one key staff person or volunteer at all VF Network Partner agencies are required to take, at minimum, the appropriate food safety training course for their agency type. Food shelves/pantries are required at minimum to complete the ServSafe Food Handler for Food Banking or equivalent training. Meal sites are required at minimum to complete the ServSafe Food Handler or equivalent training.

Please note: Key agency staff or volunteers that already hold certifications in these minimum, or more advanced, food safety courses must submit their current, valid certificate to VF with their partnership application to satisfy this requirement.

Question Title

* 23. Which of the following statements best describes your agency's current food safety certification status?

At least one key staff person or volunteer holds the appropriate, up-to-date ServSafe or equivalent food safety certification.

No key staff or volunteers currently hold the appropriate, up-to-date ServSafe or equivalent food safety certification, but we are willing to achieve and maintain up-to-date food safety certifications.

No key staff or volunteers currently hold the appropriate, up-to-date ServSafe or equivalent food safety certification, and we are not willing to achieve and maintain up-to-date food safety certifications.

Question Title

* 24. How many unique households does your agency serve per month? (Count households only once, even if they visit your site multiple times per month.)

1-10

11-20

21-40

41-100

101-150

150+

Question Title

* 25. How many paid staff members and/or volunteers does your agency have?

Paid Staff Members:

Volunteers:

Question Title

* 26. Is your building/food storage area able to be locked and secured?

Yes

Question Title

* 27. Do you have a board of directors or advisory group supporting your agency?

Yes

Question Title

* 28. Does your agency have a fundraising plan, annual budget for purchasing food that might not be donated, or other operational expenses?

Yes

Partner Eligibility Pre-Screening

Question Title

* 1. Your Agency's Name

Question Title

* 2. Your Name

Question Title

* 3. Email Address

Question Title

* 4. Telephone Number

Question Title

* 5. How long has your agency been distributing food? Please Note that agencies must be operating food distribution for at least 3 months to be accepted as a Network Partner with the Vermont Foodbank.

Question Title

* 6. What type of agency do you operate? (Select all that apply.)

Question Title

* 7. What county(ies) does your agency serve? (please select all that apply)

Question Title

* 8. What is your agency's physical address?

Question Title

* 9. Is your agency a registered tax-exempt 501(c)(3) operating in the state of Vermont?

Question Title

* 10. What is the name of the registered tax-exempt 501(c)(3) operating in the state of Vermont who will assume fiscal and administrative responsibility.

Question Title

* 11. Please provide your Employer Identification Number (EIN) as issued on your tax exempt 501c3 Determination Letter. [If you are sponsored under another organization's tax exempt status, provide the EIN for that organization]

Question Title

* 12. Do the majority of people served by your agency fall under the description of needy, ill, or infants?

Question Title

* 13. Does your agency currently focus on serving any of the specific groups of people listed below? (Please select all that apply.)

Question Title

* 14. How many hours is your agency open for food distribution per month?

Question Title

* 15. Please provide the days and times of food distributions offered by your agency.

Question Title

* 16. Are you aware of other food assistance agencies in your area?

Question Title

* 17. Do you collaborate with other food assistance agencies in your area on hours of operation to avoid duplication of efforts?

Question Title

* 18. What are the criteria for guests to receive food from your agency?

Question Title

* 19. How often can neighbors access food from your agency?

Question Title

* 20. How does your agency offer food? (Please select all that apply.)

Question Title

* 21. What types of food do you offer? (Please select all that apply.)

Question Title

* 22. Do you have on-site refrigeration or other equipment to ensure temperature control of perishable foods?

Question Title

* 23. Which of the following statements best describes your agency's current food safety certification status?

Question Title

* 24. How many unique households does your agency serve per month? (Count households only once, even if they visit your site multiple times per month.)

Question Title

* 25. How many paid staff members and/or volunteers does your agency have?

Question Title

* 26. Is your building/food storage area able to be locked and secured?

Question Title

* 27. Do you have a board of directors or advisory group supporting your agency?

Question Title

* 28. Does your agency have a fundraising plan, annual budget for purchasing food that might not be donated, or other operational expenses?

Question Title

* 29. What is your agency's annual budget for purchasing food that might not be donated/other operational expenses?

Question Title

* 30. What else should we know about your agency and operations?