Processing Supplies Contribution

Let's grab some details to get your action on the record
This form should be super simple and take no more than five minutes.

Remember, you own the data that you record on the East Coast Exchange and any data that will be publicly displayed will have a 'Public' label below the field.
Who is processing these supplies?

IndividualOrganisation / Group
Organisation / Group name
Public
Contact name*

Public
Email*
Phone number*
Are you completing this form on behalf of someone else?

YesNo
Enter your name here

First NameLast Name
Enter your phone number
Yes, I have their consent to record this information

YesNo - please get their consent before continuing

Tell us about the supplies you helped process
Date

MonthDayYear
Public
Supplies processed

Non-perishable foodPerishable foodPersonal hygiene suppliesCleaning productsHousehold goodsWaterClothingProtective equipment / PPEOther
Public
Location supplies processed
Location supplies processed
Note this will be publicly visible on a map so if you would prefer for the specific address not to be visible enter just the street or suburb.
Location of processing
Type of premises
Number of people who contributed

How would you like your action to show up on the record?
I would like to

Volunteer my time. Any Action Points I earn I would like to be donated back to the community effort.Earn Action Points that could be eligible for Programme funding.
Hours of effort
Public. If multiple people contributed add their hours together e.g. 3 people worked 2 hours each = 6 hours
What is a fair hourly rate for this effort?
Action Points
Public

Let's capture some quick info so we can verify this
Your points are only earned or donated if your actions can be verified so please supply high-quality evidence below.
Name of someone who can verify this work
Phone number of this person
Upload images of the processing work

Ensure location services on your phone is turned on so the location can be verified.
Cancelof
Add any other notes

I have read and agreed to the Exchange Rules.I understand that this is not an offer of employment. I am volunteering my time and I do not expect to receive a reward in return.I understand there is no guarantee that I will receive any Programme funds at any time or that my donated points will be funded.
View the East Coast Exchange rules here.
Should be Empty:

Let's grab some details to get your action on the record