Second Harvest Household Reporting

Second Harvest Household Reporting
If you have multiple programs under your agency group (e.g. pantry, meal site, etc), you must submit an individual form for each program. You will have an option to submit an additional form upon submission. If your agency/program number is not working, please contact partnerships@secondharvestsw.org.

For pantries: if you are receiving funds directly from Second Harvest to support your school pantry program, please choose School Pantry Program. Otherwise, please choose Food Pantry.

Complete instructions for this form are available here.

You will need to enter your program number correctly to submit this form.
- Enter your 5 digit program number and press the "Auto Complete Program Fields" button to autofill in your program information.
Program Number*
Program Number*
Program Name*
Agency Rep*
Community Rep*
City*
County*
County*
FOOD PANTRYMEAL SITEBACKPACKGROUP/RES HOME/SHELTERRDOSCHOOL PANTRY PROGRAM
Month Reporting For*
202420252026

PROGRAM REPORTING

Please provide number of visits or number of unduplicated households, or both. If you collected more information, we welcome you to share this as well. (Unduplicated = unique households, e.g. if a household visits your pantry 4 times a month, their visits would count for 4 times in Number of Households Served, but only 1 time for Unduplicated Households Served)
SECOND HARVEST SCHOOL PANTRY PROGRAM REPORTING

This information is required as part of our annual Feeding America network activity report. If you have any questions, please contact Youth & Family Initiatives Manager, Brian Squire, at brian.squire@secondharvestsw.org.
Total Number of Households Served this Month*
Total Number of Households Served This Month*
Number of Unduplicated Households served this month
Number of Unduplicated Households Served This Month
"Unduplicated Households" refers to the number of unique households that visit each month. Even if members of one household visit multiple times, they should only be counted once.
Number of unduplicated children (under age 18) served this month
Number of Unduplicated Children (Under Age 18) Served This Month
Number of unduplicated adults (18-59) served this month
Number of Unduplicated Adults (18-59) Served This Month
Number of Unduplicated Seniors (60+) Served This Month
Number of unduplicated seniors (60+) served this month
Total number of meals/snacks served in month*
Total Number of Meals/Snacks Served in Month*
Number of times your agency served meals and/or snacks this month*
Number of Times Your Agency Served Meals and/or Snacks This Month*
Total Number of Backpacks Distributed This Month*
Total Number of Households Served by COMMUNITY PARTNERS This Month*
Total number of backpacks distributed this month*
Do you have any additional information?
Email Address*
Should be Empty:

Second Harvest Household Reporting

PROGRAM REPORTING