Share the Love Host Site Application Survey

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* 1. Share the Love is a project designed to utilize community resources to reach out meaningfully and sustainably to struggling families. Share the Love Host Sites are responsible for collecting donations of cloth diapers in their local community, laundering donated cloth diapers, processing applications and distributing donated cloth diapers to qualifying families. Thank you for your interest in volunteering as a Share the Love Host in your area. Please complete the questionnaire below to continue.

I understand

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* 2. Please provide your contact information.

Name-First, Middle, Last *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 3. If married, what is your maiden name? Enter N/A if not applicable.

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* 4. What is your birth date?

Birth Date

Date

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* 5. Internet access is required at least on a weekly basis for application processing and communication related to Share the Love. Do you have regular access to internet?

Yes

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* 6. Please tell us about your experience using cloth diapers:

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* 7. Facebook is required for communication between Share the Love Administrators and Share the Love Hosts. Do you have a personal Facebook account? Please submit your username below?

Yes

Username

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* 8. Are you a member of any online or Facebook group related to parenting or cloth diapering? If so, please include below.

Yes

Other (please specify)

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* 9. Which of the following do you represent?

individual

business

non-profit organization

community group (mom club, cloth diaper group, etc.)

Other (please specify)

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* 10. If you represent a business or community group please enter the name of your business or group. If you are applying as an individual please enter N/A.

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* 11. Do you currently provide diapers to families your area? If so, please explain if its private or through an organization.

yes

no (please skip to question 14)

Other (please specify)

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* 12. If yes, are you a member of the National Diaper Bank Network?

Yes

No (please skip to question 14)

N/A

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* 13. If yes, does your diaper bank currently provide cloth diapers to qualified applicants?

Yes (Please skip to question 14)

N/A

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* 14. If no, would the current structure of your organization allow disposable diaper applicants and applicants requesting a Share the Love diaper loan to be processed separately? It is important that Share the Love recipients continue to be considered using Share the Love program qualification guidelines regardless of your organization's current diaper approval process.

Yes

N/A

Other (please specify)

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* 15. Does any disposable or cloth diaper bank exist in your area?

yes

If yes, please include name below:

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* 16. Host sites are responsible for generating, collecting, sorting, laundering, distributing, and educating about cloth diapers. Getting your community involved is one of the keys to the long-term sustainability of each Share the Love host site. Do you already have a group to support this effort?

yes, I already have some people interested in helping

no, right now its just me but wanted to get the word out and connect with others.

Other (please specify)

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* 17. Do you feel you have the time available in your schedule to devote to Share the Love in order to be an effective host? Being a host is more than a short-term commitment. Hosts are expected to find a replacement prior to exiting the program so that existing diaper loans may be returned and redistributed within the local community.

Yes

I'm not sure

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* 18. Does any cloth diaper group, service, retail store, or manufacturer exist in your area?

yes

If yes, please list below:

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* 19. Do you have access to a physical mailing address? (PO boxes are not suitable for this program)

yes

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* 20. Do you have space (animal free and smoke free) to store the diaper donations your site collects? Please indicate the approximate square footage you have available in the comment box below.

yes, in my home.

yes, I have a commercial space.

no, not at this time but count me in to help.

Other (please specify)

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* 21. Do you have a public place in mind where you can meet with families? It could be a business, local coffee shop, library, etc.

yes

Comments

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* 22. Tell us about your access to facilities to launder cloth diaper donations (washer, dryer, sink, bath tub, clothes-line, etc).

yes, in my home.

yes, a commercial facility.

Comments

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* 23. Please provide contact information for a non-relative who can act as a personal reference.

Name: *

Company:

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Country: *

Email Address: *

Phone Number:

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* 24. Please provide contact information for a non-relative who can act as a professional/organizational reference.

Name: *

Company:

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Country: *

Email Address: *

Phone Number: *

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* 25. FINAL STEP:

To complete your application, please email SHARETHELOVE@COTTONBABIES.COM and request that we process your application. Your application is not considered complete until we have received this email.

I have emailed my processing request.

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* 2. Please provide your contact information.

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* 3. If married, what is your maiden name? Enter N/A if not applicable.

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* 4. What is your birth date?

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* 5. Internet access is required at least on a weekly basis for application processing and communication related to Share the Love. Do you have regular access to internet?

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* 6. Please tell us about your experience using cloth diapers:

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* 7. Facebook is required for communication between Share the Love Administrators and Share the Love Hosts. Do you have a personal Facebook account? Please submit your username below?

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* 8. Are you a member of any online or Facebook group related to parenting or cloth diapering? If so, please include below.

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* 9. Which of the following do you represent?

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* 10. If you represent a business or community group please enter the name of your business or group. If you are applying as an individual please enter N/A.

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* 11. Do you currently provide diapers to families your area? If so, please explain if its private or through an organization.

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* 12. If yes, are you a member of the National Diaper Bank Network?

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* 13. If yes, does your diaper bank currently provide cloth diapers to qualified applicants?

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* 15. Does any disposable or cloth diaper bank exist in your area?

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* 16. Host sites are responsible for generating, collecting, sorting, laundering, distributing, and educating about cloth diapers. Getting your community involved is one of the keys to the long-term sustainability of each Share the Love host site. Do you already have a group to support this effort?

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* 18. Does any cloth diaper group, service, retail store, or manufacturer exist in your area?

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* 19. Do you have access to a physical mailing address? (PO boxes are not suitable for this program)

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* 20. Do you have space (animal free and smoke free) to store the diaper donations your site collects? Please indicate the approximate square footage you have available in the comment box below.

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* 21. Do you have a public place in mind where you can meet with families? It could be a business, local coffee shop, library, etc.

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* 22. Tell us about your access to facilities to launder cloth diaper donations (washer, dryer, sink, bath tub, clothes-line, etc).

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* 23. Please provide contact information for a non-relative who can act as a personal reference.

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* 24. Please provide contact information for a non-relative who can act as a professional/organizational reference.

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* 25. FINAL STEP:To complete your application, please email SHARETHELOVE@COTTONBABIES.COM and request that we process your application. Your application is not considered complete until we have received this email.

* 25. FINAL STEP:

To complete your application, please email SHARETHELOVE@COTTONBABIES.COM and request that we process your application. Your application is not considered complete until we have received this email.