Organization Interest Form

Thank you for your interest in partnering with Helping Mamas. Our partner network includes nonprofit organizations, government agencies, schools, healthcare providers, and faith-based organizations that distribute essential items directly to the families they serve. This interest form helps us determine eligibility and better understand your organization's programs, service area, and client needs. We review applications on a rolling basis and will contact you regarding next steps after your submission has been reviewed. Prior to completing this form, please review and ensure you meet the eligibility requirments using the following link: Partner Eligibility Guide.

Organization Name

Name and Title of Person Completing Form

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Head of Organization's Name and Title

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Current Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Office County

List Counties Served

For all of Georgia put Georgia and for the Atlanta Metro area, put Atlanta Metro

Date Services Began

Number of Employees

Website URL

Population Served

Number of Clients Served by Your Organization Each Month

Description of Services

For Non Profits, Upload a Copy of your IRS Determination Letter

Partner Agency Interest Form