GCH Monthly Impact Report Form
This report form is designed for our Distribution Center Partners (schools, churches, nonprofits and local agencies) who procured products from the Center. This report MUST be completed following a partner picking up and redistribution of the product. This report will take approximately 8 minutes to complete. Thank you for being a Giving Children Hope Partner. For questions, please email partners@gchope.org.
Full Name of your Organization
Name of Person Completing this Form
First Name
Last Name
Phone Number
Please enter a valid phone number.
Month Associated with this Impact Report
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Beneficiary Information
Tell us about who you served
In what city/cities did your distribution take place?
Approximately how many people were served?
What age groups were served? (Check all the apply)
Children Age 0-12
Teens Age 13-18
Young Adults Age 19-25
Adults 26-65
Seniors 66 and older
Product Distribution Information
Tell us about the products you distributed
Did you Distribute Locally, Nationally or Internationally?
Please Select
Locally
Nationally
Internationally
If International, what countries did you serve?
What types of products were distributed? (Check all the apply)
Mixed Costco Product
Mixed Amazon Product
Furniture
Food
Other
Were all products distributed?
Yes
No
Product is being held for a later distribution date
If Product is being held, what is the date of your distribution?
-
Month
-
Day
Year
Date
If applicable, provide a description of your upcoming event
Your Impact At A Glance
Please Provide a summary of who was impacted by your recent distributions. Be as specific as possible please.
Testimonial #1: Please provide a brief testimony, specific story or quote from a beneficiary impacted by your distribution. We would love to share this with our network of donors and highlight the great work you are doing in your community.
Optional Testimonial #2
Photos
Please share some photos, video or flyers from your distributions in the space below. We love to show our network of donors the amazing things you're doing. If you have additional photos, please email them to partners@gchope.org
Please share some photos of your distribution
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