Distribution Partner Interest Form
Sweet Cheeks Diaper Bank and Tidal Babe Period Bank provide diapers and period supplies to nonprofit distribution partners. Those partners provide the products free directly to families as part of existing services. If you represent an organization that would like to be considered the next time we are able to add new partners, please complete this form. Please note: this is not an application to become a distribution partner.
Organization Information
Organization Name:
*
Is this a 501(c)(3) nonprofit?
*
Yes
No
Type of organization, or type of services provided:
*
Zip codes this organization primarily serves, separated by commas:
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
This organization could receive products by (check all that apply):
*
Picking up from St. Vincent de Paul Cincinnati in the West End
Receiving deliveries
Indicate pickup or delivery preference. If delivery, please describe facility (Loading dock? Pallet jack accessible?)
Partnership Requirements Acknowledgement
Please acknowledge the following distribution partner requirements. Details would be clearly communicated to any new partners upon onboarding.
Distribution Partners pay an annual partner admin fee.
*
Acknowledged
Distribution Partners collect and report distribution data (no personal client data).
*
Acknowledged
Distribution Partners must have personnel responsible for placing orders, picking up, communicating with Sweet Cheeks Diaper Bank staff, managing inventory, and providing products free of charge to clients.
*
Acknowledged
Diapers and Period Supplies
Help us understand how products would be used, and the quantities that could be used.
We are interested in (check all that apply):
*
Diapers
Period Supplies
Neither
Other
If "other", type here:
Estimated # of children that could receive diapers monthly:
Estimated # of individuals that could receive period supplies monthly:
Briefly describe how products would be utilized:
Contact Info
When we are able to add new distribution partners, we hope to reach out to learn more. Please be sure to provide contact information that will still be valid even after some time has passed.
Name of person completing this form:
First Name
Last Name
Email of person completing this form:
*
example@example.com
Role with organization:
Name of best contact at organization:
*
First Name
Last Name
Email of best contact at organization:
*
example@example.com
Role with organization:
Thank you for taking the time to express your interest!
For individuals looking to access diapers, please visit https://www.sweetcheeksdiaperbank.org/get-help to see if there is a current distribution partner that is a good fit.
Anything else we should know?
Submit
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