Harvest Her Food & Resource Center – New Partner Interest Form

Harvest Her Food & Resource Center – New Partner Interest Form

Thank you for your interest in partnering with Harvest Her Food & Resource Center.
Welcome!

Harvest Her works with community organizations that are helping individuals and families access food and essential resources.

This form helps us learn more about your organization, the community you serve, and how we may be able to work together.

Completing this form does not guarantee approval or partnership. Our team will review the information provided and contact the organization regarding next steps.

Please provide the information that best describes your organization. If you do not currently have this information, please explain. Additional documentation may be requested if your organization moves forward in the partnership process.
What are the specific items your organization needs most right now?
Please list your top 3–5 most needed items, beginning with your highest priority.
If applicable, please provide preferred sizes, quantities, or other details about the items requested.
How would your organization use the food and/or resources received from Harvest Her?
SECTION 1 — ORGANIZATION INFORMATION
Approximately how many people or households would these resources support each month?
Organization Name
Include the following note:
SECTION 6 — DISTRIBUTION
Organization Website
Organization Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What days and times are you generally available to distribute resources?
County or Counties Served
Organization Type

Other
How often can an individual or household receive assistance from your organization?
If you selected Other for Organization Type, please explain.
Is your organization currently operating?

Other
If you selected Other for operating status, please explain.
Year your organization or current program began
EIN / Tax ID
If you do not currently have this information, please explain. Additional documentation may be requested if your organization moves forward in the partnership process.
SECTION 2 — PRIMARY CONTACT
Primary Contact Name

First NameLast Name
Title/Role
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Best way to contact you
SECTION 3 — ABOUT YOUR ORGANIZATION
What is your organization's mission?
Briefly describe the services or programs your organization provides.
Who does your organization primarily serve?

Other — please specify
An estimate is acceptable.
Individuals served per month
Individuals served per year
What geographic area does your organization serve?
Please include the city, county, neighborhoods, or communities served.
SECTION 4 — SERVICES AND PROGRAMS
What services does your organization currently provide?

Other — please specify
Please briefly describe your primary program or service that would receive food or resources from Harvest Her.
How long has this program been operating?
This question is for informational purposes and should not automatically disqualify a newer organization.
What types of resources are you interested in receiving from Harvest Her?
Who would receive these resources?
How often would your organization need these items?
How do you currently distribute food or resources?
How often do you currently distribute food or resources?
Is your program open to the general public?
How do people access your services?
Do you offer home delivery or mobile/community outreach?
If yes, please provide a brief description.
Where does distribution typically take place?
Harvest Her cannot guarantee that every requested item will be available. Requests will be reviewed based on current inventory, donations, community needs, and available resources. This information helps us better understand what our community partners need and how available resources can be distributed effectively.
Should be Empty:

Harvest Her Food & Resource Center – New Partner Interest Form

SECTION 1 — ORGANIZATION INFORMATION

SECTION 6 — DISTRIBUTION

SECTION 2 — PRIMARY CONTACT

SECTION 3 — ABOUT YOUR ORGANIZATION

SECTION 4 — SERVICES AND PROGRAMS