BNM PANTRY PARTNER REGISTRATION FORM
Welcome:Thank you for your interest in partnering with Basic Needs Miami. We are a community-based nonprofit working to support families facing hardship through the distribution of emergency food and essential items. Sometimes families face the unexpected - and when they do, it can interrupt the services you work so hard to provide.That's where we come in! Through our Partner Pantry Program, local nonprofits and community groups can request “emergency/ same day pickup” food bags - one per household - to help families stay steady during challenging moments."the basics" - Food Bag includes shelf-stable items to stretch meals for a few days. This program is designed to help your program: Keep your services flowing without interruption• Relieve you of expending staff, time, and resourcesHelp families avoid having to search, wait in long lines, or rely on outside referrals for basic food needs• Provide families with dignified support when it matters most
Organization Name:
Address
Primary Contact Name:
Primary Contact Phone Number
Primary Contact Email Address:
Organization Type
Please Select
501c3
Community Based Organization
Faith-Based Organization
School
Other (please specify)
Share Your Organization's Mission and the Populations You Serve (if applicable)
Other Than Food, Please List Others Essentials Needed By the Children/Families/Individuals You Serve.
Estimated Number of Individuals/Families Served Monthly (if applicable)
Service Areas ( Neighborhoods or Zip Codes)
Partner Pantry Agreement
I agree to distribute these basic necessities to my program participants and provide the zip codes and family size of the families being served to assist in measuring program impact.
Submit
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