Accessible Little Free Pantry Application

Thank you for your interest in supporting your community by starting an accessible Little Free Pantry! Read more about the specifics of our grant program here: https://docs.google.com/document/d/1XqBiGqv4YKVnPZfJIZoUHBl4_aWH2CC_mM6alaP8LR0/edit?usp=sharing.

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Please enter a valid phone number.

What form of contact is most accessible and convenient for you?

Mailing Address (where we should send your supplies)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Pantry Location (physical location of the food pantry - can be different than the mailing address supplies will be sent to)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is the physical location where you are setting up the Little Free Pantry on land that you own? If not, who owns the land or location and what is their contact information? We need to confirm that permission has been provided to set up a Little Free Pantry at this location.*

How would you categorize the location of this Little Free Pantry?*

RuralSuburbanUrban

Please describe the area where you hope to put your Little Free Pantry. Why is this a good location? What population does it reach? Why is there a need for a Little Free Pantry there? *

Is it in a neighborhood? Near businesses or community resources? On a high traffic street?

Is the location where you want to place your Little Free Library accessible for people who use wheelchairs or other mobility devices?*

YesNoUnsure (we will contact you to discuss if you choose this option)

Describe your plan for setting up the Little Free Pantry and maintaining it. Kelly's Kitchen can commit to providing you with a Little Free Pantry (that you will need to assemble) and a one-time guaranteed stipend to fill the pantry with non-perishable, shelf-stable foods. However, we want to know what your plan is to get the word out about the Little Free Pantry and keep it stocked by yourself and/or other community members.*

Are you or someone you know able to assemble the cabinet and transport it to the site if needed? How often will you be able to check on the Little Free Pantry? What types of items do you plan to fill it with using the initial budget provided by Kelly's Kitchen? Are you confident that you and/or members of your community will be able to keep it relatively well stocked after these items are gone?

Are you interested in receiving access to branded social media images that can be used to spread the word about your Little Free Pantry if a grant is awarded?*

Anything else you would like us to know?

If awarded a Kelly's Kitchen Little Free Pantry Grant,*

I agree that I will set up the Little Free Pantry and only spend Kelly's Kitchen funds to stock it with food, hygiene products, and other appropriate items.I understand that this Little Free Pantry will be added to the Little Free Pantry searchable map/website and the Kelly's Kitchen Food Security Network map/website.I will check on the Little Free Pantry at least monthly and do my best to make sure it is well-stocked and in good condition.I agree to send Kelly's Kitchen photos or a short video of the pantry when it is set up.These photos may be shared by Kelly's Kitchen in social media materials and with our funders. (not required)