Partnership Screening Form

Thank you for your interest in partnering with Helping Mamas! We are the baby supply bank for Georgia & Tennessee.The mission of Helping Mamas is to connect resources to mamas needing help. We provide diapers, essential baby items, and period products to families in need. We provide these items through several different distribution methods outlined below.

Baby Supply Program

Working with over 150 partner agencies throughout the state of Georgia we provide critical items like diapers, wipes, car seats, cribs, pack and plays and more. We provide items for children birth to age 12.

Mobile Distribution Program

The mobile distribution program gives us the opportunity to serve individuals in different counties but on wheels. We take our van where there is great need and little resources. Everyone should have access to basic needs such as period products, diapers, wipes, hygiene kits, etc. Our van ensures that communities and families have access to these items to help them thrive.

TANF Program

This program provides diapers to families that have been recipients of TANF within the last year. Each family will receive 4 months of diapers per child - this is 1,200 diapers and can be up to $400 worth of diapers.

DPH Program

There are 12 programs in the state that have been approved by DPH to receive $12,500 worth of diapers for children in their programs. These are home-based programs identified by DPH.

How does the partnership work?
If your organization is selected to become a partner with Helping Mamas, a partnership agreement will be executed between your organization and Helping Mamas before any items can be distributed to your organization.

Please answer the following questions below to help us determine if your organization will be a good match for our programs.

Agency: *

Contact Name: *

First Name Last Name

Phone Number: *

Please enter a valid phone number.

Email: *

example@example.com

County: *

State: *

Website address:

Social media links:

When was your organization established? *

What type of agency is your organization? *

Organization Yearly Budget? *

Are you a 501(c)(3)? *

Yes No

Upload 501(c)(3) letter *

What is your organization's mission/purpose? *

What type of program/services does your organization provide to individuals: *

How many clients do you serve on a yearly basis? *

Which county/counties does your organization serve? *

Press and hold CNTRL key to make multiple selections

What is your client referral process? *

Which program are you interested in? *

Baby Supply Bank Mobile Distribution TANF DPH

What items are your clients in need of?

Press and hold CNTRL key to make multiple selections

How often would you need items from Helping Mamas?

Does your organization have the ability to pick up large amounts of items (i.e. van, truck, SUV)?

Yes No