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Prospective Partner Information Form

Thank you for taking the time to inquire about partnering with River Bend Foodbank.

We strive for a hunger-free Iowa and Illinois. To accomplish this goal, we partner with food distribution organizations such as food pantries and meal sites in our 23-county service area. We provide them with the food they need to distribute to hungry people in their area.

If you would like to take the first step in becoming our partner, please fill out the form below and someone from the Foodbank will be in touch with you shortly.

All fields are required.

Organization NameThis should be the same name that is on your 501(c)(3). If it is not, please fill out the question below.
CountyTo select more than one answer hold CTRL and click.
Umbrella Organization Holding 501(c)(3) (if different)The exempt purposes set forth in section 501(c)(3) are charitable, religious, educational, scientific, literary, testing for public safety, fostering national or international amateur sports competition, and preventing cruelty to children or animals. The term charitable is used in its generally accepted legal sense and includes relief of the poor, the distressed, or the underprivileged; advancement of religion; advancement of education or science; erecting or maintaining public buildings, monuments, or works; lessening the burdens of government; lessening neighborhood tensions; eliminating prejudice and discrimination; defending human and civil rights secured by law; and combating community deterioration and juvenile delinquency. If this doesn’t apply to your organization, please put N/A.
EIN #
Distribution Address
Organization Website
Where do you advertise your services?
Contact Person
Contact Phone Number
Contact Email Address

Please select the best answer:

How many hours are you open per month?
How long have you served food?
How often can your guests visit?
How do you offer food?To select more than one answer hold CTRL and click.
How many households do you serve per month?
Is your food storage area locked?
How many freezers do you have?
How many refrigerators do you have?
How many people work at your distribution site?
What is the name of your pest control company?
How often do they inspect your facility?
Do you have a disaster recovery plan?A disaster plan is two-fold: 1) What is the response that your organization will have if there is a natural disaster in the area? 2) Will you be open extra hours to help those affected? What is your plan if something were to happen to your facility? Do you have a place to store food while repairs are done?
What are your funding sources?Are you completely donation based? Do you apply for grants or hold any fundraisers?
How much money do you spend on food each month?
Please explain your food distribution operation.
Do you share a service are with another food distribution organization? If so, how do your services differ from theirs?
Do you have a plan for growth?