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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. 
1.Your Agency's Name
2.Your Name
3.Email Address
4.Telephone Number
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.
6.What type of agency do you operate? (Select all that apply.)
7.What county(ies) does your agency serve? (please select all that apply)
8.What is your agency's physical address?
9.Is your agency a registered tax-exempt 501(c)(3) operating in the state of Vermont?
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.
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](Required.)
12.Do the majority of people served by your agency fall under the description of needy, ill, or infants?
13.Does your agency currently focus on serving any of the specific groups of people listed below? (Please select all that apply.)
14.How many hours is your agency open for food distribution per month?
15.Please provide the days and times of food distributions offered by your agency.
16.Are you aware of other food assistance agencies in your area?
17.Do you collaborate with other food assistance agencies in your area on hours of operation to avoid duplication of efforts?
18.What are the criteria for guests to receive food from your agency?
19.How often can neighbors access food from your agency?
20.How does your agency offer food? (Please select all that apply.)
21.What types of food do you offer? (Please select all that apply.)
22.Do you have on-site refrigeration or other equipment to ensure temperature control of perishable foods?
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.
23.Which of the following statements best describes your agency's current food safety certification status?
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.)
25.How many paid staff members and/or volunteers does your agency have?
26.Is your building/food storage area able to be locked and secured?
27.Do you have a board of directors or advisory group supporting your agency?
28.Does your agency have a fundraising plan, annual budget for purchasing food that might not be donated, or other operational expenses? 
29.What is your agency's annual budget for purchasing food that might not be donated/other operational expenses?
30.What else should we know about your agency and operations?