Partnership Application Partnership ApplicationName of OrganizationContact InformationWho will be coordinating bag requests and pick-ups?First NameLast NameEmail AddressPhone/MobileAddressStreetCityStateZip CodeCountyType of Organization (check all that apply) 501 (c) 3 nonprofit Church Government Agency Other (please list)Other Type of OrganizationMission of Your OrganizationDescribe the Population That Your Organization ServesRacial/Ethnicity Information of Those You Serve (percentages if possible)Service Area (counties)How Many Children, Ages 0-18 yrs Old, Does Your Organization Serve Each Year?What Are the Eligibility Requirements for Clients to Receive Services with Your Organization?Does Your Organization Track Clients? If So, How?How Would Your Organization Distribute Bags?Does Your Organization Accept Walk-in Requests for Bags from the Public? Yes No OtherHow Many of the Children You Serve, Will Need Bags Each Month from Adventure Bags, Inc.?Are there additional ways your organization can help support us? (Please use this space if you have creative, additional, or fun ideas to solidify our partnership together.) This space is for you to tell us anything else that you think we should know.Submit Form
